Individual
LAURA EISMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 579-2647
Mailing address
16914 21ST AVE, WHITESTONE, NY 11357-4102
(347) 866-2999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
260878
NY
Other
Enumeration date
05/12/2008
Last updated
05/03/2017
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