MEDICARE: BESHOY THOMAS ESTAFANOUS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568199123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BESHOY THOMAS ESTAFANOUS

Provider Business Mailing Address
First Line	:	130 ESSEX ST # 11-A
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-2325
Country	:	US
Telephone Number	:	857-201-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 GEORGE ST
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01852-2228
Country	:	US
Telephone Number	:	978-453-5736
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	06/04/2026

Similar Medicare Providers

1376576298 — DR. RODOLFO STOLTZMANN D.M.D
Practice Location Address:

21 GEORGE ST STE 205
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Practice Phone: 978-459-7824
Practice Fax:

1578645248 — DR. GREGORY L ROSS D.M.D.
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21 GEORGE ST , SUITE 303
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1699844597 — DR. ROBERT CARL SAMPSON JR. M.D.
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1316087810 — MRS. NICOLE SUZANNE NICKERSON MSW, LCSW
Practice Location Address:

21 GEORGE ST STE 300
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1174650907 — COMPREHENSIVE HEALTH SERVICES, LLC
Practice Location Address:

21 GEORGE ST STE 300
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1598880767 — MS. MEHRNAZ MAGHSOUDLOO DMD
Practice Location Address:

21 GEORGE ST , SUITEG04
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Directions to “ BESHOY THOMAS ESTAFANOUS ” Practice Location

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