Individual
DR. HENRY M. EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 GADWALL LN, MANLIUS, NY 13104-9395
(315) 682-0055
(315) 682-0056
Mailing address
109 GADWALL LN, MANLIUS, NY 13104-9395
(315) 682-0055
(315) 682-0056
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
092148-1
NY
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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