Healthcare Provider Details

I. General information

NPI: 1710325196
Provider Name (Legal Business Name): ESTHER SKUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CHAPEL ST SUITE 901
BROOKLYN NY
11201-1952
US

IV. Provider business mailing address

1442 E 15TH ST
BROOKLYN NY
11230-6602
US

V. Phone/Fax

Practice location:
  • Phone: 718-398-0153
  • Fax: 718-623-2531
Mailing address:
  • Phone: 347-784-0760
  • Fax: 718-623-2531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number655952
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: