Individual
DR. DEBORAH A EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7619 168TH ST, FLUSHING, NY 11366-1333
(718) 380-4302
Mailing address
3701 HENRY HUDSON PKWY, SUITE 1E, BRONX, NY 10463-1521
(718) 601-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241911-1
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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