Individual
DR. JESSE ROSE EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
550 11TH ST APT 1L, BROOKLYN, NY 11215-4366
(347) 753-4750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
285156
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2013
Last updated
07/21/2022
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