MEDICARE: ADAM ESHEL

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	103K00000X	Behavior Analyst	20-120519	NY

General Provider Information

NPI Number	:	1043964547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM ESHEL

Provider Business Mailing Address
First Line	:	7284 W PALMETTO PARK RD STE 105S
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LAYNE BLVD APT 116
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5707
Country	:	US
Telephone Number	:	516-778-2239
Fax Number	:

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

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	02/04/2022

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Directions to “ ADAM ESHEL ” Practice Location

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