Individual
DR. LAWRENCE B EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
104055-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091607
GHI HMO
—
01
—
000410990001
BLUE SHIELD NENY
—
01
—
000410990003
BLUE SHIELD NENY
—
05
—
00392856
—
NY
01
—
040426006662
FIDELIS
—
01
—
05105
MVP
—
01
—
10000562
CDPHP
—
01
—
104055-1
TRICARE NORTH REGION
—
01
—
110160500
US DEPT OF LABOR
—
01
—
28481
EMPIRE BLUE CROSS
—
01
—
33570J
FIDELIS MEDICARE
—
01
—
9711439
GHI
—
01
—
CAN1040559
NO FAULT
—
01
—
D01977
AMERICAN PROGRESSIVE TODA
—
01
—
LE02848110
EMPIRE BLUE CROSS
—
01
—
LE02848120
EMPIRE BLUE CROSS
—
Enumeration date
08/09/2005
Last updated
11/11/2010
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