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Individual
MRS. FERN MARY EISENBERG
Active
Individual
MRS. FERN MARY EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22379276
NY
163WH0200X
Home Health Registered Nurse
22379276
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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