Eichenbaum, Joseph

Eichenbaum, Joseph is an individual health care provider with primary practice located at 253 Broadway , Lynbrook NY 11563-3243. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eichenbaum, Joseph can be contacted via phone (516) 596-6100.

Contact Information

Primary practice address
253 Broadway Lynbrook NY 11563-3243
Phone: (516) 596-6100
Fax: (516) 599-6989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 147959 New York

Profile Details

NPI number 1053301267
LBN Legal business name Eichenbaum, Joseph
Credentials M.D.F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053301267 NPPES
New York MEDICAID 00883830

Popular Providers