Organization
DR BERNARD M EISEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD MEYER ELSEN DDS (OWNER DENTIST)
(716) 634-1300
Entity
Organization
Contact information
Practice address
5782 MAIN ST, WILLIAMSVILLE, NY 14221-8219
(716) 634-1300
(716) 634-1378
Mailing address
5782 MAIN STREET, WILLIAMSVILLE, NY 14221-8219
(716) 634-1300
(716) 634-1378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00620562
—
NY
Enumeration date
02/13/2007
Last updated
07/07/2008
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