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Individual

SAM EISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7603 NEW UTRECHT AVE, BROOKLYN, NY 11214-1021
(718) 633-1999
Mailing address
7603 NEW UTRECHT AVENUE, BROOKLYN, NY 11214
(718) 633-1999

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/22/2015
Last updated
06/22/2015
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