Provider Demographics
NPI:1811367634
Name:SY, ESTER
Entity Type:Individual
Prefix:
First Name:ESTER
Middle Name:
Last Name:SY
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 1:14206 PERSHING CRES APT 1
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2022
Mailing Address - Country:US
Mailing Address - Phone:347-454-9285
Mailing Address - Fax:
Practice Address - Street 1:14206 PERSHING CRES APT 1
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2022
Practice Address - Country:US
Practice Address - Phone:347-454-9285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist