Provider Demographics
NPI:1194910083
Name:ESTEROW, JOANNA (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:ESTEROW
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:ESTEROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:240 E 38TH ST FL 23
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2708
Mailing Address - Country:US
Mailing Address - Phone:212-263-3095
Mailing Address - Fax:
Practice Address - Street 1:240 E 38TH ST FL 23
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2708
Practice Address - Country:US
Practice Address - Phone:212-263-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0105421363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant