Individual
DR. JACOB EISDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1235 LINDEN BLVD, BROOKLYN, NY 11212-2438
(718) 240-7904
(718) 240-7393
Mailing address
1 BROOKDALE PLAZA, PHYSICIAN ENTERPRISE SERVICES, BROOKLYN, NY 11212
(718) 240-7904
(718) 240-7393
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
25MB09093600
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
270778
NY
Other
Enumeration date
01/18/2007
Last updated
07/19/2024
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