Individual provider · Type 1 NPI

Maureen Eisenberg

Pediatric Nurse Practitioner · Sunnyside, NY

NPI number 1467703801 Active

Practice location

47-01 Queens Boulevard, Suite 303
Sunnyside, NY 11104

Fax (718) 707-3435

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382350 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1467703801

Maureen Eisenberg's National Provider Identifier is 1467703801, issued on Sep 25, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sunnyside, NY. The record was last updated on Sep 9, 2013.