Provider Demographics
NPI:1548863269
Name:BUCHNIK, ESTER ALEXANDRA
Entity type:Individual
Prefix:
First Name:ESTER
Middle Name:ALEXANDRA
Last Name:BUCHNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 E 12TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7280
Mailing Address - Country:US
Mailing Address - Phone:347-768-4935
Mailing Address - Fax:
Practice Address - Street 1:1546 E 12TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7280
Practice Address - Country:US
Practice Address - Phone:347-768-4935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty