Most Relevant Information
Provider Data
| NPI Number: | 1003309402 |
| Provider Name: | SYLVESTER ESANGBEDO |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 000862 |
Most Important Dates
| Enumeration Date: | 06/11/2018 |
| Last Updated: | 08/02/2018 |
Provider Practice Location
444 CENTER ST
MANCHESTER
CT
06040
Practice Location Phone/Fax
| Phone: | 8606463888 |
| Fax: | 8606454132 |
Provider Mailing Location
995 DAY HILL RD
WINDSOR
CT
060951722
Provider Mailing Phone/Fax
| Phone: | 8607315522 |
| Fax: | 8607315536 |