Basic Information
Provider Information
NPI: 1790006831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESTENGER
FirstName: ESTHER
MiddleName: MARIA
NamePrefix: MS.
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 166 COLUMBIA AVE
Address2:  
City: HARTSDALE
State: NY
PostalCode: 105301921
CountryCode: US
TelephoneNumber: 9146364440
FaxNumber: 9146365231
Practice Location
Address1: 70 GRAND ST
Address2:  
City: NEW ROCHELLE
State: NY
PostalCode: 108015606
CountryCode: US
TelephoneNumber: 9146364440
FaxNumber: 9146365231
Other Information
ProviderEnumerationDate: 06/11/2010
LastUpdateDate: 06/11/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X051499-1NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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