Organization
PALISADES PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH EISENBERG MD (CEO)
(845) 535-3098
Entity
Organization
Contact information
Practice address
2 MEDICAL PARK DR, WEST NYACK, NY 10994-1965
(845) 535-3098
Mailing address
2 MEDICAL PARK DR, WEST NYACK, NY 10994-1965
(845) 535-3098
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
220382-1
NY
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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