Provider Demographics
NPI:1700167335
Name:BECKOFF, ESTHER
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:BECKOFF
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 1:8219 218TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1415
Mailing Address - Country:US
Mailing Address - Phone:718-465-7405
Mailing Address - Fax:
Practice Address - Street 1:1000 HUTCHINSON RIVER PKWY
Practice Address - Street 2:ST.JOSEPH'S SCHOOL FOR THEDEAF
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1820
Practice Address - Country:US
Practice Address - Phone:718-828-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0003196-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0003196-1OtherNYS PROFESSIONAL LICENSE