Healthcare Provider Details

I. General information

NPI: 1407923550
Provider Name (Legal Business Name): SHARI LYNNE ESKIN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 BOUNDARY AVE STE 8
S FARMINGDALE NY
11735-4450
US

IV. Provider business mailing address

47 BOUNDARY AVE STE 8
S FARMINGDALE NY
11735-4450
US

V. Phone/Fax

Practice location:
  • Phone: 516-694-1590
  • Fax: 516-249-8213
Mailing address:
  • Phone: 516-694-1590
  • Fax: 516-249-8213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009954-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: