MEDICARE: LUIS M. ESTEVEZ MD, MPH, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	154457-1	NY

General Provider Information

NPI Number	:	1003811365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS M. ESTEVEZ MD, MPH, MBA

Provider Business Mailing Address
First Line	:	3690 WILDWOOD ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1129
Country	:	US
Telephone Number	:	914-245-4578
Fax Number	:	877-829-3250

Provider Business Practice Location Address
First Line	:	3690 WILDWOOD ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1129
Country	:	US
Telephone Number	:	914-245-4578
Fax Number	:	877-829-3250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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