Provider Demographics
NPI:1407108400
Name:BIRNBAUM, ESTHER H
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:H
Last Name:BIRNBAUM
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 1:119 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1326
Mailing Address - Country:US
Mailing Address - Phone:845-521-8093
Mailing Address - Fax:
Practice Address - Street 1:119 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1326
Practice Address - Country:US
Practice Address - Phone:845-521-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst