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NPI Code Detail

MEDICARE: MIRIAM ECKSTEIN

MEDICARE:   MIRIAM  ECKSTEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1578828356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM ECKSTEIN
Provider Business Mailing Address
First Line : 1701 59TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2254
Country : US
Telephone Number : 718-256-0045
Fax Number :
Provider Business Practice Location Address
First Line : 1701 59TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2254
Country : US
Telephone Number : 718-256-0045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2012
Last Update Date : 07/09/2012

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Directions to “ MIRIAM ECKSTEIN ” Practice Location

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