Provider Demographics
NPI:1437454881
Name:POPE, ESTER M
Entity Type:Individual
Prefix:
First Name:ESTER
Middle Name:M
Last Name:POPE
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 1:1503 METROPOLITAN AVE
Mailing Address - Street 2:APT 7E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-6167
Mailing Address - Country:US
Mailing Address - Phone:347-281-8337
Mailing Address - Fax:
Practice Address - Street 1:1503 METROPOLITAN AVE
Practice Address - Street 2:APT 7E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-6167
Practice Address - Country:US
Practice Address - Phone:347-281-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000886-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant