MEDICARE: YECIKA ESTHER OTONICHAR MS, LMFT

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	106H00000X	Marriage & Family Therapist	001222	NY

General Provider Information

NPI Number	:	1104359199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YECIKA ESTHER OTONICHAR MS, LMFT

Provider Business Mailing Address
First Line	:	2248 BROADWAY # 2025
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5805
Country	:	US
Telephone Number	:	929-251-4505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2248 BROADWAY # 2025
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5805
Country	:	US
Telephone Number	:	929-251-4505
Fax Number	:

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

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	02/20/2026

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