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Diana J Eisenberg
Pediatric Skilled Nursing Facility in Ticonderoga, New York
NPI 1093958084

Diana J Eisenberg is a Pediatric Skilled Nursing Facility based in Ticonderoga, NY and is specialized in Nursing Care, Pediatric. Diana J Eisenberg practices in Ticonderoga, NY. The NPI Number for Diana J Eisenberg is 1093958084 and holds a License No. 295362-1 (New York).

The current practice location address for Diana J Eisenberg is 340 Burgoyne Road, Ticonderoga, NY and can be reached out via phone at 518-585-9057 and via fax at 518-585-2271.

Location: 340 Burgoyne Road, Ticonderoga, NY, 12883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093958084
Provider Name
Diana J Eisenberg
Credential
Provider Entity Type
Organization
Address
340 Burgoyne Road, Ticonderoga, NY, 12883
Phone Number
518-585-9057
Fax Number
518-585-2271
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Burgoyne Road
City
Ticonderoga
State
New York
Zip
12883
Phone Number
518-585-9057
Fax Number
518-585-2271
person
Provider Business Mailing Address Details
Address
340 Burgoyne Road
City
Ticonderoga
State
New York
Zip
12883
Phone Number
518-585-9057
Fax Number
518-585-2271
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
295362-1 (New York)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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