Individual
MRS. MICHELE L EISWERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
706 EXECUTIVE BLVD, VALLEY COTTAGE, NY 10989-2038
(390) 484-5362
Mailing address
706 EXECUTIVE BLVD, VALLEY COTTAGE, NY 10989-2038
(845) 362-3904
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
489298
NY
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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