MEDICARE: ESTHER GARCIA

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	007398	NY

General Provider Information

NPI Number	:	1700333556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER GARCIA

Provider Business Mailing Address
First Line	:	51 HILLSIDE AVE
Second Line	:
City	:	WEST HAVERSTRAW
State	:	NY
Zip	:	10993-1026
Country	:	US
Telephone Number	:	845-863-6510
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 JOYCE PLZ
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-2700
Country	:	US
Telephone Number	:	845-863-6510
Fax Number	:

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	09/08/2016

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