Provider Demographics
NPI:1942613591
Name:KONTOH SINTIM, ESTHER
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:KONTOH SINTIM
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 1:3915 CARPENTER AVE
Mailing Address - Street 2:APT 3C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3742
Mailing Address - Country:US
Mailing Address - Phone:347-387-0228
Mailing Address - Fax:
Practice Address - Street 1:3915 CARPENTER AVE
Practice Address - Street 2:APT 3C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3742
Practice Address - Country:US
Practice Address - Phone:347-387-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY685165-1314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility