Individual
CAROLYN S EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, BOX 141, NEW YORK, NY 10021-4870
(212) 746-2059
Mailing address
525 E 68TH ST, BOX 141, NEW YORK, NY 10021-4870
(212) 746-2059
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
190597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733311
—
NY
Enumeration date
07/31/2006
Last updated
06/07/2023
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