Eisen, Andrew S

Eisen, Andrew S is an individual health care provider with primary practice located at 168 Beach 121St St , Rockaway Park NY 11694-1961. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Eisen, Andrew S can be contacted via phone (917) 855-1305.

Contact Information

Primary practice address
168 Beach 121St St Rockaway Park NY 11694-1961
Phone: (917) 855-1305
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 33468 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60046366 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 036958 New York

Profile Details

NPI number 1619011152
LBN Legal business name Eisen, Andrew S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Dec 26th, 2019 - about 5 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 1619011152 NPPES
California Other 33468 LICENSE

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