Individual
JOANN ARENA EISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
56-45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 670-1373
(718) 939-1167
Mailing address
56-45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 670-1373
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'03610097
—
NY
Enumeration date
03/03/2007
Last updated
06/19/2014
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