Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001320 | NY |
NPI | 1154575702 |
---|---|
Provider Name | Ms. Gina Eichenbaum-Pikser |
First Address | Brooklyn, NY 11215-5170 |
Second Address | Brooklyn, NY 11215-5170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 28/11/2015 |