Individual
DR. JONATHAN FARREL EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
224 ROUTE 4 EAST LOWER LEVEL, PARAMUS, NJ 07652
(201) 845-5999
(201) 845-5999
Mailing address
149 MARISA CIRCLE, STATEN ISLAND, NY 10309
(718) 605-2591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00638000
NJ
111N00000X
Chiropractor
X008779-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093581
—
NJ
01
—
5897373
GHI
NY
01
—
7452866
AETNA
NJ
01
—
C08779-3B
W/C BOARD #
NY
Enumeration date
11/03/2006
Last updated
07/08/2007
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