Individual
DR. DAVID J EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4104 STATE HIGHWAY 30, AMSTERDAM, NY 12010-6202
(518) 883-8624
(518) 883-8229
Mailing address
PO BOX 1250, 99 EAST STATE STREET, GLOVERSVILLE, NY 12078-0010
(518) 773-5758
(518) 773-5456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496403
PHCS
NY
05
—
01901862
—
NY
01
—
11589P
HIP
NY
01
—
12-03201
UNITED HEALTH CHP
NY
01
—
1826218
UNITED HEALTH
NY
01
—
205839-A30
HEALTH FIRST
NY
01
—
2096092
AETNA HMO
NY
01
—
5764669
AETNA PPO
NY
01
—
6502582
CIGNA
NY
01
—
74-3149469
UNITED HEALTH EMPIRE
NY
01
—
88522
VYTRA
NY
01
—
9U9661
BC/BS
NY
01
—
AA50725
MDNY
NY
01
—
ANTHEM
020578NY01
NY
01
—
ED5839
ATLANTIS
NY
01
—
P1065411
OXFORD
NY
Enumeration date
10/26/2005
Last updated
01/25/2018
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