Provider Demographics
NPI:1689757676
Name:EILEEN K LAMBROZA MD PC
Entity Type:Organization
Organization Name:EILEEN K LAMBROZA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBROZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-717-7300
Mailing Address - Street 1:1085 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1168
Mailing Address - Country:US
Mailing Address - Phone:212-717-7300
Mailing Address - Fax:212-517-7789
Practice Address - Street 1:1085 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1168
Practice Address - Country:US
Practice Address - Phone:212-717-7300
Practice Address - Fax:212-517-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180382207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F20585Medicare UPIN