Individual
DR. JACK EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
186 S MAIN ST, NEW CITY, NY 10956-3318
(845) 634-0696
Mailing address
186 S MAIN ST, NEW CITY, NY 10956-3318
(845) 634-0696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2837
NY
Other
Enumeration date
11/24/2006
Last updated
03/29/2010
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