Provider Demographics
NPI:1962585984
Name:LAMBROZA, EILEEN KESSLER (MD)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:KESSLER
Last Name:LAMBROZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180382207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F20585Medicare UPIN