Healthcare Provider Details

I. General information

NPI: 1518477462
Provider Name (Legal Business Name): ESTHER CARYN FINGERHUT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 BROADWAY STE 300
NEW YORK NY
10010-8158
US

IV. Provider business mailing address

6725 DARTMOUTH ST APT 4P
FOREST HILLS NY
11375-4028
US

V. Phone/Fax

Practice location:
  • Phone: 718-288-3314
  • Fax:
Mailing address:
  • Phone: 718-288-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number022336
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number022336
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number022336
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number022336
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number022336
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: