Individual
ESTHER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 OLD HOOK RD, SUITE 204, WESTWOOD, NJ 07675-3246
(201) 666-8787
Mailing address
354 OLD HOOK RD, SUITE 204, WESTWOOD, NJ 07675-3246
(201) 666-8787
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00094100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YA00094100
NEW JERSEY AUDIOLOGY LICENSE
NJ
Enumeration date
07/06/2016
Last updated
07/06/2016
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