Provider Demographics
NPI:1497350854
Name:ESTIME ROBERTS WOMEN'S HEALTH NURSE PRACTITIONER PLLC
Entity Type:Organization
Organization Name:ESTIME ROBERTS WOMEN'S HEALTH NURSE PRACTITIONER PLLC
Other - Org Name:TRUST WOMEN'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ESTIME ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP-BC
Authorized Official - Phone:347-287-1375
Mailing Address - Street 1:318 GATES AVE UNIT C2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1306
Mailing Address - Country:US
Mailing Address - Phone:347-287-1375
Mailing Address - Fax:
Practice Address - Street 1:318 GATES AVE UNIT C2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1306
Practice Address - Country:US
Practice Address - Phone:347-287-1375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1013444637Medicaid