Individual
DR. MICHAEL L EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
935 NORTHERN BLVD, SUITE 302, GREAT NECK, NY 11021-5309
(516) 487-6163
(516) 829-3912
Mailing address
935 NORTHERN BLVD, SUITE 302, GREAT NECK, NY 11021-5309
(516) 487-6163
(516) 829-3912
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
139536
NY
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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