Basic Information
| Provider Information | |||||||||
| NPI: | 1386608693 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EICHLER | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | LESIAK | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN FNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | LESIAK | ||||||||
| OtherFirstName: | MARGARET | ||||||||
| OtherMiddleName: | MARY | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | REGISTERED NURSE | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 83 MEISNER AVE | ||||||||
| Address2: | |||||||||
| City: | STATEN ISLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 103061235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183515380 | ||||||||
| FaxNumber: | 7183510227 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 POLY PLACE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 112097104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188366600 | ||||||||
| FaxNumber: | 7185674077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | X | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 19254 | NE | X | Nursing Service Providers | Registered Nurse | 363LF0000X | F3334101 | NY | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 364SX0106X | 1869171 | NY | X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Occupational Health |
No ID Information.