Healthcare Provider Details

I. General information

NPI: 1093134991
Provider Name (Legal Business Name): YONAH BARUCH ESTERSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-0001
US

V. Phone/Fax

Practice location:
  • Phone: 570-270-6212
  • Fax:
Mailing address:
  • Phone: 570-271-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD86740
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: