Individual
SIDNEY BERNARD EISIG
Active
Individual
SIDNEY BERNARD EISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
036028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964356
—
NY
01
—
0348187
CIGNA
NY
01
—
036028N02
HIP
NY
01
—
1300099
GHI
NY
01
—
2635591
AETNA HMO
NY
01
—
4309559
AETNA PPO
NY
01
—
45913P
HIP MEDICAID
NY
01
—
4C1608
HEALTHNET PHS
NY
01
—
683721
UNITED HEALTHCARE
NY
01
—
D48781
EMPIRE BCBS
NY
01
—
GS361
OXFORD
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
Update your record
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