Provider Demographics
NPI:1881308799
Name:MARA ESTORES NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:MARA ESTORES NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:VENTURA
Authorized Official - Last Name:ESTORES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:914-402-7272
Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-0492
Mailing Address - Country:US
Mailing Address - Phone:914-440-7272
Mailing Address - Fax:914-206-7276
Practice Address - Street 1:530 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2602
Practice Address - Country:US
Practice Address - Phone:914-402-7272
Practice Address - Fax:914-206-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care