Individual
DR. EDWARD GEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1749 GRAND CONCOURSE OFC A, BRONX, NY 10453-8250
(718) 901-8173
(718) 901-8156
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
153141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01015067
—
NY
Enumeration date
10/26/2005
Last updated
01/17/2020
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