Provider Demographics
NPI:1093958084
Name:DIANA J EISENBERG
Entity Type:Organization
Organization Name:DIANA J EISENBERG
Other - Org Name:HELPING HANDS NURSING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NYS LICENSED PRACTICAL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-585-9057
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:TICONDEROGA
Mailing Address - State:NY
Mailing Address - Zip Code:12883
Mailing Address - Country:US
Mailing Address - Phone:518-585-9057
Mailing Address - Fax:518-585-2271
Practice Address - Street 1:340 BURGOYNE ROAD
Practice Address - Street 2:
Practice Address - City:TICONDEROGA
Practice Address - State:NY
Practice Address - Zip Code:12883
Practice Address - Country:US
Practice Address - Phone:518-585-9057
Practice Address - Fax:518-585-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295362-13140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric