Healthcare Provider Details

I. General information

NPI: 1669852422
Provider Name (Legal Business Name): ESTHER RIMOKH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 06/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2381 HYLAN BLVD
STATEN ISLAND NY
10306-3122
US

IV. Provider business mailing address

2381 HYLAN BLVD
STATEN ISLAND NY
10306-3122
US

V. Phone/Fax

Practice location:
  • Phone: 800-277-4680
  • Fax:
Mailing address:
  • Phone: 800-277-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number083177
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: