Individual
EVAN R EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 DUFF PL, SUITE A, SEAFORD, NY 11783-1324
(516) 520-8080
(516) 520-8877
Mailing address
532 BROADHOLLOW ROAD, SUITE 142, MELVILLE, NY 11747
(516) 931-0041
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
236718
NY
Other
Enumeration date
07/11/2006
Last updated
04/07/2011
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