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Individual

DR. ELIEZER EISENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4915 BROADWAY, SUITE 1J, NEW YORK, NY 10034-3119
(212) 569-5700
(212) 569-5701
Mailing address
4915 BROADWAY, SUITE 1J, NEW YORK, NY 10034-3119
(212) 569-5700
(212) 569-5701

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006432
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00323200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006432
NY STATE LICENSE NUMBER
Enumeration date
08/05/2011
Last updated
04/21/2015
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