Provider Demographics
NPI:1508134180
Name:YORMARK, ESTHER M (MASTERS SPECIAL ED)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:M
Last Name:YORMARK
Suffix:
Gender:F
Credentials:MASTERS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6716
Mailing Address - Country:US
Mailing Address - Phone:718-627-3903
Mailing Address - Fax:
Practice Address - Street 1:1438 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6716
Practice Address - Country:US
Practice Address - Phone:718-627-3903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY972898001103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst