Healthcare Provider Details

I. General information

NPI: 1508222860
Provider Name (Legal Business Name): KRISTA M ESKEN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2016
Last Update Date: 01/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10-42 MITCHELL AVE
BINGHAMTON NY
13903-1617
US

IV. Provider business mailing address

2102 BERNARD BLVD
ENDICOTT NY
13760-1413
US

V. Phone/Fax

Practice location:
  • Phone: 607-762-2100
  • Fax:
Mailing address:
  • Phone: 607-624-9045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: