Healthcare Provider Details

I. General information

NPI: 1598602229
Provider Name (Legal Business Name): ANN ESTEVEZ L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 GROVE ST STE 2
RIDGEWOOD NY
11385-2140
US

IV. Provider business mailing address

5743 COOPER AVE APT 2
GLENDALE NY
11385-6030
US

V. Phone/Fax

Practice location:
  • Phone: 929-360-3427
  • Fax:
Mailing address:
  • Phone: 929-360-3427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007882
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: