Provider Demographics
NPI:1508167685
Name:ESTE, ALBERTA BLAIR
Entity Type:Individual
Prefix:MRS
First Name:ALBERTA
Middle Name:BLAIR
Last Name:ESTE
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 1:123-30 83RD AVENUE
Mailing Address - Street 2:APT 6D
Mailing Address - City:KEW GARDENTS
Mailing Address - State:NY
Mailing Address - Zip Code:11415
Mailing Address - Country:US
Mailing Address - Phone:718-263-3298
Mailing Address - Fax:
Practice Address - Street 1:123-30 83RD AVENUE
Practice Address - Street 2:APT 6D
Practice Address - City:KEW GARDENTS
Practice Address - State:NY
Practice Address - Zip Code:11415
Practice Address - Country:US
Practice Address - Phone:718-263-3298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2640301163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse