Individual
MS. PAMELA A. EICHENLAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5899
Mailing address
5255 KASSON RD, SYRACUSE, NY 13215-8625
(315) 427-6125
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
F390013-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F390013-1
NP LICENSE NUMBER
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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