Healthcare Provider Details

I. General information

NPI: 1700094034
Provider Name (Legal Business Name): ARLENE SUSAN ESGAR ATR-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 ROSELLE PL
WOODMERE NY
11598-1116
US

IV. Provider business mailing address

1063 ROSELLE PL
WOODMERE NY
11598-1116
US

V. Phone/Fax

Practice location:
  • Phone: 516-295-3815
  • Fax:
Mailing address:
  • Phone: 516-295-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number000310-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: