Corneilia Estream

Primary specialty

SpecialistTaxonomy code 174400000X

License

528773111 Issued in NY

Practice address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone

(718) 762-7633

NPI assigned

Mar 18, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corneilia Estream-Soto Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1164849907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 PUTNAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375911",
            "telephone_number": "917-652-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST STE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754739",
            "telephone_number": "718-762-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTREAM",
        "first_name": "CORNEILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "528773111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER ID",
            "identifier": "2272649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORNEILIA",
            "last_name": "ESTREAM-SOTO",
            "credential": "MSED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole Trizia Salondro Esplana
• Amanda Esposito
• Esther Chaim Medical PC
• Monica Estrada Rangel
• Edalyn Mae Estrada
• Elvira Estrella
• Chris Evan Tagulinao Estrellado, PT
• Felix Estrin, D.D.S.
• Susan Jane Ethier
• Marlyne Etienne

• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.