Healthcare Provider Details

I. General information

NPI: 1386279867
Provider Name (Legal Business Name): ESTHER MORITZ LAT, ATC, EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 LEXINGTON AVE
NEW YORK NY
10016-4605
US

IV. Provider business mailing address

590 MONTGOMERY ST
BROOKLYN NY
11225-3130
US

V. Phone/Fax

Practice location:
  • Phone: 412-499-0451
  • Fax:
Mailing address:
  • Phone: 412-499-0451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT007825
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: