Provider Demographics
NPI:1700568565
Name:ESTRIN, AIMEE (LMSW)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:ESTRIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 JUDITH CT
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1606
Mailing Address - Country:US
Mailing Address - Phone:516-998-6434
Mailing Address - Fax:
Practice Address - Street 1:25 JUDITH CT
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1606
Practice Address - Country:US
Practice Address - Phone:516-998-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120270104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker