Individual
ESTHER EISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 HERRICK DR, LAWRENCE, NY 11559-1527
(516) 662-7630
Mailing address
43 HERRICK DR, LAWRENCE, NY 11559-1527
(516) 662-7630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021914
NY
Other
Enumeration date
12/11/2017
Last updated
04/29/2018
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