GLENN PHILIP EISEN (NPI# 1770143083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770143083 |
| Entity Type | Individual |
| Full Name | GLENN PHILIP EISEN |
| Credential | TAI CHI INSTRUCTOR |
| Practice Address |
20 Hollywood Dr Hastings On Hudson NY 10706-1206 |
| Practice Telephone | 9142315719 |
| Mailing Telephone | 9142315719 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295741759 | Glenn Miles Eisen | Internal Medicine | 9701 Sw Barnes Rd, Suite 300, Portland, OR 97225-6772 | 2006-08-01 |
| Street Address |
20 HOLLYWOOD DR |
| City | HASTINGS ON HUDSON |
| State | NY |
| Zip Code | 10706-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801170469 | Sandy E. Lutzker | Speech-Language Pathologist | 100 Lefurgy Avenue, Hastings-on-hudson, NY 10706 | 2011-09-30 |
| 1548415961 | Lori Ann Mackay | Speech-Language Pathologist | 120 Lefurgy Avenue, Hastings On Hudson, NY 10706 | 2008-11-26 |
| 1871751263 | Jeanne Lorraine Martine | Nurse Practitioner | One South Broadway, Graham Windham, Hastings-on-hudson, NJ 10706 | 2008-06-02 |
| 1265607386 | Barbara Mcguire | Social Worker | 25a Main St., Hastings-on-hudson, NY 10706 | 2008-04-29 |
| 1093936817 | Hiroko Aizeki | Massage Therapist | 77 Cochrane Avenue, Hastings On Hudson, NY 10706 | 2007-05-01 |
| 1801915343 | Patricia Gallagher | Psychologist | 1 North Street, Hastings, NY 10706 | 2007-03-28 |
| 1770622987 | Debra Odonnell | Social Worker | 765 N Broadway, Suite 16d, Hastings On Hudson, NY 10706 | 2007-02-05 |
| 1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
| 1932268489 | Elizabeth Berman Zuch | Psychologist | 120 Lefurgy Ave, Hillside Elementary School, Hastings On Hudson, NY 10706 | 2006-12-08 |
| 1134215676 | Eric Ben Grossman | Internal Medicine | 6 Hastings Landing, Hastings On Hudson, NY 10706 | 2006-10-04 |
| Find all providers in zip 10706 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | HASTINGS ON HUDSON |
| Zip Code | 10706 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.