Organization
HECTOR FALLS INTEGRATIVE MEDICINE
Active
Other names
MICHAEL EISMAN, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EISMAN M.D. (M.D.)
(607) 546-7193
Entity
Organization
Contact information
Practice address
3835 STATE ROUTE 414, BURDETT, NY 14818-9744
(607) 546-7193
(607) 546-4091
Mailing address
3835 STATE ROUTE 414, BURDETT, NY 14818-9744
(607) 546-7193
(607) 546-4091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131704-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00395666
—
NY
Enumeration date
07/05/2007
Last updated
08/22/2020
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