Healthcare Provider Details

I. General information

NPI: 1841423951
Provider Name (Legal Business Name): EIBHLIS HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 MAPLE AVE
WHITE PLAINS NY
10601-4706
US

IV. Provider business mailing address

122 MAPLE AVE
WHITE PLAINS NY
10601-4706
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-1000
  • Fax:
Mailing address:
  • Phone: 914-948-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335795
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: