Provider Demographics
NPI:1992065833
Name:NOSEK, EILEEN M (M ED)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:M
Last Name:NOSEK
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 HILLSIDE PKWY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1064
Mailing Address - Country:US
Mailing Address - Phone:716-681-4330
Mailing Address - Fax:
Practice Address - Street 1:49 HILLSIDE PKWY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1064
Practice Address - Country:US
Practice Address - Phone:716-681-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist