Search › New York › 103TC0700X
Ethan Eisen, PHD
NPI 1558968842 · on the registry since 2020 · sole proprietor
Practice
- Address
- 107 Lakeside Dr E
Lawrence, NY 11559 - Phone
- (516) 259-3148
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York