Provider Demographics
NPI:1073744959
Name:NGUEMGUE, ESTHER
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:NGUEMGUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W 141ST ST
Mailing Address - Street 2:52
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1832
Mailing Address - Country:US
Mailing Address - Phone:646-548-9045
Mailing Address - Fax:
Practice Address - Street 1:127 W 141ST ST
Practice Address - Street 2:52
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-1832
Practice Address - Country:US
Practice Address - Phone:646-548-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY616124163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse