Individual
MS. EILEEN KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
241 BEACH 127TH ST, ROCKAWAY PARK, NY 11694-1728
(917) 376-4543
(718) 474-2074
Mailing address
241 BEACH 127TH ST, ROCKAWAY PARK, NY 11694-1728
(917) 376-4543
(718) 474-2074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9120910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9120910
FNP LISENCE
NY
Enumeration date
06/01/2016
Last updated
06/01/2016
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