| Doctor Name: | DR. AUDREY L. EISENSTADT |
| NPI Number: | 1285660266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 150594 |
| Business Practice Address: | 369 E Main St Suite 18 East Islip, NY - 117302800 |
| Business Phone Number: | 6312771600 |
| Business Fax Number: | 6312771638 |
| Mailing Address: | 369 E Main St, Suite 18 EAST ISLIP |
| State: | NY |
| Postal Code: | 117302800 |
| Phone Number: | 6312771600 |
| Fax Number: | 6312771638 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 150594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |