Provider Demographics
NPI:1437510120
Name:ERENS, EVA BARBARA (MD)
Entity Type:Individual
Prefix:MS
First Name:EVA
Middle Name:BARBARA
Last Name:ERENS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:30 BELL AVENUE
Mailing Address - Street 2:BLDG 490 OCCUPATIONAL MEDICINE CLINIC, BROOKHAVEN NATIO
Mailing Address - City:UPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11973-5000
Mailing Address - Country:US
Mailing Address - Phone:631-344-3670
Mailing Address - Fax:631-344-7366
Practice Address - Street 1:30 BELL AVENUE
Practice Address - Street 2:BLDG 490 OCCUPATIONAL MEDICINE CLINIC, BROOKHAVEN NATIO
Practice Address - City:UPTON
Practice Address - State:NY
Practice Address - Zip Code:11973-5000
Practice Address - Country:US
Practice Address - Phone:631-344-3670
Practice Address - Fax:631-344-7366
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY151956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine