Provider Demographics
NPI:1386216083
Name:TEITELBAUM, ESTHER S (LMSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:S
Last Name:TEITELBAUM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MELNICK DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3328
Mailing Address - Country:US
Mailing Address - Phone:845-352-6800
Mailing Address - Fax:845-503-2214
Practice Address - Street 1:42 MELNICK DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3328
Practice Address - Country:US
Practice Address - Phone:845-352-6800
Practice Address - Fax:845-503-2214
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty