Provider Demographics
NPI:1780439976
Name:SWEENEY, EILEEN FRANCES (DENTAL HYGIENIST)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:FRANCES
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:MISS
Other - First Name:EILEEN
Other - Middle Name:FRANCES
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EILEEN SWEENEY RDH
Mailing Address - Street 1:348 PALISADE AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1726
Mailing Address - Country:US
Mailing Address - Phone:908-821-7312
Mailing Address - Fax:
Practice Address - Street 1:224 W 35TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2507
Practice Address - Country:US
Practice Address - Phone:908-821-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032536-01124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist