Provider Demographics
NPI:1447132592
Name:AMSEL, ESTHER (RD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:AMSEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:LAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:55 COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4743
Mailing Address - Country:US
Mailing Address - Phone:347-736-8457
Mailing Address - Fax:347-736-8457
Practice Address - Street 1:55 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4743
Practice Address - Country:US
Practice Address - Phone:347-736-8457
Practice Address - Fax:347-736-8457
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY87454FB4-650B-4BB2-9133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered