Provider Demographics
NPI:1891880324
Name:FEIGENBAUM, ESTHER (LCSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:FEIGENBAUM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:FEIGENBAUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:69-10 108TH STREET, 8L
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-544-7279
Mailing Address - Fax:
Practice Address - Street 1:69-10 108TH STREET, 8L
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-544-7279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO31648-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97555Medicare ID - Type Unspecified