Healthcare Provider Details

I. General information

NPI: 1700854817
Provider Name (Legal Business Name): JEANNINE M ESLINGER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTHY WAY
OCEANSIDE NY
11572-1551
US

IV. Provider business mailing address

PO BOX 409213
ATLANTA GA
30384-9213
US

V. Phone/Fax

Practice location:
  • Phone: 516-632-3900
  • Fax:
Mailing address:
  • Phone: 800-377-8721
  • Fax: 304-523-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number009119-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: