Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN EISEN, PHD
Active Sole ProprietorDR. ETHAN EISEN, PHD is a Clinical Psychologist healthcare provider located in LAWRENCE, New York. NPI 1558968842 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAWRENCE, NY
Registration Details
- NPI Number
- 1558968842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2020 (5.8485352328207 yrs)
- Last Updated
- Oct 8, 2020
- License
-
05837 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 LAKESIDE DR ELAWRENCE, NY, 115591718Browse NY providers · Browse ZIP 11559
- Phone
- 5162593148
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in LAWRENCE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW L KANE | PH.D. | 1912995556 |
| DR. ZIPORA HERZBERG | PSY.D. | 1477533420 |
| DR. ANDREA J HERTZ ZILBERBERG | PH.D. | 1144452673 |
| REGINE GALANTI | PHD | 1124451745 |
| MICHAEL MARCUS | PHD | 1861035644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.