Provider Demographics
NPI:1619282084
Name:EINHORN-GORSHEIN, ELANA NATALIE (OD)
Entity Type:Individual
Prefix:DR
First Name:ELANA
Middle Name:NATALIE
Last Name:EINHORN-GORSHEIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2341
Mailing Address - Country:US
Mailing Address - Phone:732-681-2320
Mailing Address - Fax:732-280-2320
Practice Address - Street 1:613 10TH AVE
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2341
Practice Address - Country:US
Practice Address - Phone:732-681-2320
Practice Address - Fax:732-280-2320
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00626300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist