Individual provider · Type 1 NPI

Rebecca Suzanne Eisenberg

Student in an Organized Health Care Education/Training Program · Rockville Centre, NY

NPI number 1083373708 Active

Practice location

165 N Village Ave
Rockville Centre, NY 11570-3761

Mailing address

85 Richmond Blvd Unit 1A
Ronkonkoma, NY 11779-3650

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083373708

Rebecca Suzanne Eisenberg's National Provider Identifier is 1083373708, issued on Dec 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockville Centre, NY. The record was last updated on Dec 9, 2021.