Provider Demographics
NPI:1376360008
Name:TAUB, ESTHER
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:TAUB
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 1:3 VAYOEL MOSHE CT UNIT 301
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-5403
Mailing Address - Country:US
Mailing Address - Phone:845-293-0488
Mailing Address - Fax:
Practice Address - Street 1:3 VAYOEL MOSHE CT UNIT 301
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-5403
Practice Address - Country:US
Practice Address - Phone:845-293-0488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered