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General NPI Number Information
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NPI Number | 1467851584
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Entity Type | Organization
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Legal Business Name | LISA BROWN-EISEL, LCSW, P.C.
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 100 NORTH VILLAGE AVENUE, SUITE 32
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-984-1610
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Fax | 516-764-1717
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Provider Business Mailing Address
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Address Line | 100 NORTH VILLAGE AVENUE, SUITE 32
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-984-1610
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Fax | 516-764-1717
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LISA BROWN-EISEL
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Credential | LCSW
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Telephone | 516-984-1610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R051377-1
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License Number State | NY
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