DIANA J EISENBERG
Nursing Care, Pediatric
Ticonderoga, New York
Provider NPI: 1093958084
Organization Information:Organization Name: DIANA J EISENBERG
Practice Location:
340 BURGOYNE ROAD TICONDEROGA, NY 12883 US
Tel: 518-585-9057 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
340 BURGOYNE ROAD TICONDEROGA, NY 12883 US
Tel: 518-585-9057 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | NY | 295362-1 |