Individual
MR. MICHAEL EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
51 W 51ST ST, NEW YORK, NY 10019-6113
(212) 326-5705
Mailing address
51 W 51ST ST, NEW YORK, NY 10019-6113
(212) 326-5705
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3078021
NY
363LG0600X
Gerontology Nurse Practitioner
F3078021
NY
Other
Enumeration date
08/24/2016
Last updated
05/05/2021
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