MEDICARE: ESTHER SCHUCK

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	174400000X	Specialist	1174273	NY

General Provider Information

NPI Number	:	1326862053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER SCHUCK

Provider Business Mailing Address
First Line	:	1091 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1887
Country	:	US
Telephone Number	:	718-360-3778
Fax Number	:

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

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	11/11/2024

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Directions to “ ESTHER SCHUCK ” Practice Location

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