National Provider Identifier
Elyse Estra, DMD
Elyse Estra, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (203) 745-6168.
Profile Overview
- NPI
- 1053019539
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- February 23, 2023
- Last Updated
- March 12, 2024
Practice Location
- 625 Elmwood Ave
- Rochester, NY 14620-2913
Phone: (203) 745-6168
Mailing Address
- 55 Fruit Street
- Warren 1201
- Boston, MA 02114
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1053019539
- Entity Type
- Individual
- Last Name
- Estra
- First Name
- Elyse
- Credential
- DMD
- Mailing Street Address
- 55 Fruit Street
- Mailing Address Line 2
- Warren 1201
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114
- Mailing Country
- US
- Practice Street Address
- 625 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (203) 745-6168
- Enumeration Date
- February 23, 2023
- Last Updated
- March 12, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)