Individual provider · Type 1 NPI
Eliana Eisen
Student in an Organized Health Care Education/Training Program · Tomkins Cove, NY
NPI number
1770460669
Active
Practice location
12 Hawk Nest Rd
Tomkins Cove, NY 10986-1021
Mailing address
2417 Michigan Ave
Santa Monica, CA 90404-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1770460669
Eliana Eisen's National Provider Identifier is 1770460669, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tomkins Cove, NY. The record was last updated on Aug 20, 2025.