Individual
DR. SALLY SHORE EISENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
35 HILLTOP RD, PORT WASHINGTON, NY 11050-2725
(516) 944-3538
(516) 883-9312
Mailing address
35 HILLTOP RD, PORT WASHINGTON, NY 11050-2725
(516) 944-3538
(516) 883-9312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7952
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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