Individual ProviderLaura EisenbergLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Laura Eisenberg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1730451824Provider TypeIndividualFull NameEisenberg, LauraTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/3/2012Last Updated4/12/2012Contact InformationPractice LocationPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense293217New York