Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 223303 | NY |
N | 2080N0001X | Neonatal-Perinatal Doctor | 223303 | NY |
NPI | 1114943552 |
---|---|
Provider Name | Lisa Renee Eiland |
First Address | New York, NY 10022-6102 |
Second Address | New York, NY 10021-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |