Individual
MS. MAUREEN EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47-01 QUEENS BOULEVARD, SUITE 303, SUNNYSIDE, NY 11104
(718) 707-3434
(718) 707-3435
Mailing address
47-01 QUEENS BOULEVARD, SUITE 303, SUNNYSIDE, NY 11104
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382350
NY
Other
Enumeration date
09/25/2012
Last updated
09/09/2013
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