Individual
MR. CHARLES EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
141 BIRCHWOOD RD, CORAM, NY 11727-3675
(212) 268-0226
Mailing address
3259 44TH ST, APT 2L, ASTORIA, NY 11103-2306
(212) 268-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
036633
NY
Other
Enumeration date
05/07/2015
Last updated
02/17/2016
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