Individual
NAOMI SHARON EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9745 QUEENS BLVD, REGO PARK, NY 11374-2106
(516) 456-0356
Mailing address
30 SHEPHERD LN, ROSLYN HEIGHTS, NY 11577-2507
(516) 626-2950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
202555-1
NY
Other
Enumeration date
01/29/2006
Last updated
07/08/2007
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