Organization
JACK EISENSTEIN,D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK EISENSTEIN DPM (PODIATRIST)
(718) 353-4307
Entity
Organization
Contact information
Practice address
18-15 COLLEGE POINT BOULEVARD, COLLEGE POINT, NY 11356
(718) 353-4307
(718) 539-7558
Mailing address
18-15 COLLEGE PONT BOULEVARD, COLLEGE POINT, NY 11356
(718) 353-4307
(718) 539-7558
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
NO2938
NY
Other
Enumeration date
12/27/2007
Last updated
01/03/2008
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