Provider Demographics
NPI:1285733030
Name:EISENBERG, REBECCA LYNN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:EISENBERG
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Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:402 E 90TH ST
Mailing Address - Street 2:APARTMENT 5G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5119
Mailing Address - Country:US
Mailing Address - Phone:212-979-9700
Mailing Address - Fax:212-260-7469
Practice Address - Street 1:120 E 23RD ST
Practice Address - Street 2:ROOM 529
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4519
Practice Address - Country:US
Practice Address - Phone:212-979-9700
Practice Address - Fax:212-260-7469
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY013522-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist