Individual
MS. RENIE EIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4781 BROADWAY, NEW YORK, NY 10034-4915
(212) 304-6922
(212) 304-6924
Mailing address
22 LANCASTER CT APT B, WAYNE, NJ 07470-7820
(973) 839-6547
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380052
NY
Other
Enumeration date
02/20/2007
Last updated
11/29/2012
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