# ELIOT L. BIRNBAUM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073586004
- **Authorized official:** DR. ELIOT L. BIRNBAUM MD (PRESIDENT)
- **Authorized official phone:** (631) 724-8585

## Contact information

- **Practice address:** 200 MOTOR PKWY, SUITE D-22, HAUPPAUGE, NY 11788-5100
- **Practice address phone:** (631) 724-8585
- **Practice address fax:** (631) 435-3423
- **Mailing address:** 200 MOTOR PKWY, SUITE D-22, HAUPPAUGE, NY 11788-5100
- **Mailing address phone:** (631) 724-8585
- **Mailing address fax:** (631) 435-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 189300 | NY | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 10/13/2011