Provider Demographics
NPI:1770350035
Name:WIDLANSKI, ESTHER (DPT)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:WIDLANSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W 69TH ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5291
Mailing Address - Country:US
Mailing Address - Phone:812-272-8239
Mailing Address - Fax:
Practice Address - Street 1:145 PALISADE ST STE 322
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1695
Practice Address - Country:US
Practice Address - Phone:914-768-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050909-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist