Provider Demographics
NPI:1861583940
Name:ESCHENBERG, NANCY ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANNE
Last Name:ESCHENBERG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8881 STATE ROUTE 97
Mailing Address - Street 2:
Mailing Address - City:CALLICOON
Mailing Address - State:NY
Mailing Address - Zip Code:12723-5052
Mailing Address - Country:US
Mailing Address - Phone:845-887-5693
Mailing Address - Fax:845-887-5694
Practice Address - Street 1:8881 STATE ROUTE 97
Practice Address - Street 2:
Practice Address - City:CALLICOON
Practice Address - State:NY
Practice Address - Zip Code:12723-5052
Practice Address - Country:US
Practice Address - Phone:845-887-5693
Practice Address - Fax:845-794-3347
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02205205Medicaid
NYA400030548Medicare PIN
90N441Medicare PIN
NYS79760Medicare UPIN