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Organization
SELIG EISENBERG,M.D., PC.
Active
Organization
SELIG EISENBERG,M.D., PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELIG EISENBERG (PRESIDENT)
(718) 367-7400
Entity
Organization
Contact information
Practice address
3201 GRAND CONCOURSE APT 1C, BRONX, NY 10468-1226
(718) 367-7400
Mailing address
3201 GRAND CONCOURSE APT 1C, BRONX, NY 10468-1226
(718) 367-7400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
085040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00129511
—
NY
01
—
085040
LICENSE
NY
01
—
A100000647
MEDICARE PTAN
—
Enumeration date
02/27/2008
Last updated
03/07/2023
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