Individual provider · Type 1 NPI

Michael Vincent Eisenbraun, PA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1144512559 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9508 Map

Mailing address

142 Hawthorne Ave
Staten Island, NY 10314-1815

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23009070 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1144512559

Michael Vincent Eisenbraun, PA-C's National Provider Identifier is 1144512559, issued on May 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on May 4, 2011.