Provider Demographics
NPI:1124394077
Name:CALBERTO, ESTHER (MS OTR/L BIL TSHH)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:CALBERTO
Suffix:
Gender:F
Credentials:MS OTR/L BIL TSHH
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS OTR/L BIL TSHH
Mailing Address - Street 1:22 MAPLE ST NE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2723
Mailing Address - Country:US
Mailing Address - Phone:646-338-5613
Mailing Address - Fax:
Practice Address - Street 1:59-09 ST. FELIX AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:718-821-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2018-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63015009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist