Dr Joanne Dale Eisen, DDS is a
Dentist based in Old Bethpage, New York. Dr Joanne Dale Eisen is licensed to practice in New York (license number 026554) and her current practice location is
1188 Round Swamp Road, Old Bethpage, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 752-1008.
NPI number for Dr Joanne Dale Eisen is 1750411492 and her current mailing address is 1188 Round Swamp Road, Old Bethpage, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750411492.
Healthcare Provider's Profile
| Full Name | Dr Joanne Dale Eisen |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 1188 Round Swamp Road, Old Bethpage, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750411492
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Joanne Dale Eisen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750411492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 026554 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joanne Dale Eisen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joanne Dale Eisen, DDS
1188 Round Swamp Road,
Old Bethpage, NY 11804
Ph: (516) 752-1008 | Dr Joanne Dale Eisen, DDS
1188 Round Swamp Road,
Old Bethpage, NY 11804
Ph: (516) 752-1008 |
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