Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 253913 | NY |
Y | 207K00000X | Allergist & Immunologist | ME109241 | FL |
N | 208000000X | Pediatrician | 253913 | NY |
NPI | 1205158169 |
---|---|
Provider Name | Dr. Michelle Eisenfeld |
First Address | Miami, FL 33173-3570 |
Second Address | Aventura, FL 33180-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2010 |
Last Update Date | 13/02/2012 |