Provider Demographics
NPI:1063212843
Name:GBERTEY, ESTHER KORKOR
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:KORKOR
Last Name:GBERTEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 85TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3228
Mailing Address - Country:US
Mailing Address - Phone:240-259-7628
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1849
Practice Address - Country:US
Practice Address - Phone:800-507-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator