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Individual

DR. JO EISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944
Mailing address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3172
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972543320
MEDICARE ID
NY
01
320923
AETNA
NY
Enumeration date
06/07/2006
Last updated
05/28/2008
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