Provider Demographics
NPI:1902090160
Name:PHILBIN, EILEEN ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:ELIZABETH
Last Name:PHILBIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 HOMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-3733
Mailing Address - Country:US
Mailing Address - Phone:631-728-6272
Mailing Address - Fax:
Practice Address - Street 1:68 HOMEWOOD DR
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-3733
Practice Address - Country:US
Practice Address - Phone:631-728-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0498461163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse