Individual
DR. PHILIP EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
255 EXECUTIVE DR., SUITE LL107, PLAINVIEW, NY 11803
(631) 455-7258
(888) 972-9445
Mailing address
255 EXECUTIVE DR., SUITE LL107, PLAINVIEW, NY 11803
(631) 455-7258
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
16639
NY
Other
Enumeration date
08/07/2006
Last updated
07/02/2021
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