Provider Demographics
NPI:1538709621
Name:STARESHEFSKY, ESTHER (MSED)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:STARESHEFSKY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MRS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:STARESHEFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED
Mailing Address - Street 1:1258 EAST 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:718-338-4257
Mailing Address - Fax:
Practice Address - Street 1:1258 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4004
Practice Address - Country:US
Practice Address - Phone:718-338-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY973602151174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty