Healthcare Provider Details

I. General information

NPI: 1275607699
Provider Name (Legal Business Name): ESTHER CHEN-KARSDON L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHER CHEN L.AC.

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 VALLEY DR 2ND FLOOR
GREENWICH CT
06831-5205
US

IV. Provider business mailing address

908 NORTHERN BLVD
BALDWIN NY
11510-4936
US

V. Phone/Fax

Practice location:
  • Phone: 203-661-7300
  • Fax: 203-661-7301
Mailing address:
  • Phone: 516-223-7142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000339
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number001516
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: