Individual
LISA EISDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(718) 854-4243
Mailing address
70 MINNA ST, BROOKLYN, NY 11218-2116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006131
NY
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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