Individual
MRS. SHIFRA EISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
43 HERRICK DRIVE, LAWRENCE, NY 11559
(516) 239-7430
Mailing address
43 HERRICK DRIVE, LAWRENCE, NY 11559
(516) 239-7430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
695395
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9232E1
PROVIDER #
—
Enumeration date
08/27/2008
Last updated
08/27/2008
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