Healthcare Provider Details

I. General information

NPI: 1386217487
Provider Name (Legal Business Name): ESTHER MOLLER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHER MOSESON

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 DOUGHTY BLVD STE C
INWOOD NY
11096-2056
US

IV. Provider business mailing address

798 ROOSEVELT ST
FAR ROCKAWAY NY
11691-5247
US

V. Phone/Fax

Practice location:
  • Phone: 718-268-3937
  • Fax: 718-268-3938
Mailing address:
  • Phone: 347-988-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberORT009348-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: