Eisdorfer, Laura Ann

Eisdorfer, Laura Ann is an sole proprietor health care provider with primary practice located at 830 Garrison Ave , Teaneck NJ 07666-2542. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eisdorfer, Laura Ann can be contacted via phone (201) 801-0115.

Contact Information

Primary practice address
830 Garrison Ave Teaneck NJ 07666-2542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00301600 New Jersey

Profile Details

NPI number 1518010073
LBN Legal business name Eisdorfer, Laura Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518010073 NPPES
New Jersey MEDICAID 002830401

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