ETHAN EISEN

LAWRENCE, NY
NPI1558968842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MD  05837)
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
Dr. ETHAN EISEN PhD
107 LAKESIDE DR E
LAWRENCE, NY 11559-1718
Phone number: 516-259-3148
Mailing Address
Dr. ETHAN EISEN PhD
107 LAKESIDE DR E
LAWRENCE, NY 11559-1718
Phone number: 516-259-3148
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