Individual
AMANDA LYNN EISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 MOUNTAIN RD, RAVENA, NY 12143-1235
(518) 756-5200
Mailing address
PO BOX 158, RAVENA, NY 12143-0158
(518) 265-9353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
818185
NY
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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