Individual
MS. JANE LORI EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD STE 114, FARMINGDALE, FARMINGDALE, NY 11735-3931
(516) 753-6507
Mailing address
420 W 23RD ST, APT. 5C, NEW YORK, NY 10011-2172
(917) 270-2656
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
09564481
NY
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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