Provider Demographics
NPI:1497965735
Name:EILENDER, ELIZABETH (RD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:EILENDER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 W HAMILTON PL
Mailing Address - Street 2:APT 6
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1630
Mailing Address - Country:US
Mailing Address - Phone:646-220-4198
Mailing Address - Fax:201-792-1459
Practice Address - Street 1:115 CHRISTOPHER COLUMBUS DR
Practice Address - Street 2:STE 402
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5526
Practice Address - Country:US
Practice Address - Phone:646-220-4198
Practice Address - Fax:201-792-1459
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered