Provider Demographics
NPI:1881023620
Name:ZACHAI, ESTHER (MS)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:ZACHAI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:GRUNBLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:14905 79TH AVE APT 323
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3831
Mailing Address - Country:US
Mailing Address - Phone:347-287-7760
Mailing Address - Fax:
Practice Address - Street 1:14905 79TH AVE APT 323
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3831
Practice Address - Country:US
Practice Address - Phone:347-287-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY559153111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist