Healthcare Provider Details

I. General information

NPI: 1245748227
Provider Name (Legal Business Name): ESQ FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4285 CROMMELIN AVE FL 3
FLUSHING NY
11355-4913
US

IV. Provider business mailing address

4285 CROMMELIN AVE FL 3
FLUSHING NY
11355-4913
US

V. Phone/Fax

Practice location:
  • Phone: 516-654-4089
  • Fax:
Mailing address:
  • Phone: 718-530-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ESTEBAN ORTIZ
Title or Position: OWNER
Credential:
Phone: 718-530-6973