Individual
DR. YAKOV S EISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S; MSD
Contact information
Practice address
1 HANSON PL STE 1308, BROOKLYN, NY 11243-2902
(718) 622-2695
Mailing address
125 RAND PL, LAWRENCE, NY 11559-1326
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165171
—
NY
Enumeration date
08/05/2006
Last updated
07/08/2007
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