MEDICARE: ESTHER GREENWALD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F347148	NY

General Provider Information

NPI Number	:	1689267080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER GREENWALD

Provider Business Mailing Address
First Line	:	285 SPRUCE ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-2454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 SPRUCE ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-2454
Country	:	US
Telephone Number	:	314-420-2104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2021
Last Update Date	:	02/16/2021

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Directions to “ ESTHER GREENWALD ” Practice Location

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