Provider Demographics
NPI:1043573173
Name:MINZER, ESTHER
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:MINZER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:MINZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED
Mailing Address - Street 1:1957 50TH ST
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1313
Mailing Address - Country:US
Mailing Address - Phone:718-377-3568
Mailing Address - Fax:
Practice Address - Street 1:1957 50TH ST
Practice Address - Street 2:BROOKLYN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1313
Practice Address - Country:US
Practice Address - Phone:718-377-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist