Provider Demographics
NPI:1275607699
Name:CHEN-KARSDON, ESTHER (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:CHEN-KARSDON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MRS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:908 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4936
Mailing Address - Country:US
Mailing Address - Phone:516-223-7142
Mailing Address - Fax:
Practice Address - Street 1:15 VALLEY DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5205
Practice Address - Country:US
Practice Address - Phone:203-661-7300
Practice Address - Fax:203-661-7301
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000339171100000X
NY001516171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist