Provider Demographics
NPI:1124380019
Name:EINHART, ELIZABETH JEANINE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JEANINE
Last Name:EINHART
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E 92ND ST
Mailing Address - Street 2:APT 3-B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2407
Mailing Address - Country:US
Mailing Address - Phone:516-659-3942
Mailing Address - Fax:
Practice Address - Street 1:166 E 92ND ST
Practice Address - Street 2:APT 3-B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2407
Practice Address - Country:US
Practice Address - Phone:516-659-3942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist