Eisenberg, David J

Eisenberg, David J is an individual health care provider with primary practice located at 4104 State Highway 30 , Amsterdam NY 12010-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eisenberg, David J can be contacted via phone (518) 883-8624.

Contact Information

Primary practice address
4104 State Highway 30 Amsterdam NY 12010-6202
Phone: (518) 883-8624
Fax: (518) 883-8229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205839 New York

Profile Details

NPI number 1205826682
LBN Legal business name Eisenberg, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205826682 NPPES
New York Other 000000496403 PHCS
New York Other 6502582 PHCS
New York Other 11589P PHCS
New York Other 2096092 PHCS
New York Other 9U9661 PHCS
New York Other 74-3149469 PHCS
New York Other 88522 PHCS
New York Other ANTHEM PHCS
New York Other 205839-A30 PHCS
New York Other 5764669 PHCS
New York MEDICAID 01901862 PHCS
New York Other 12-03201 PHCS
New York Other 1826218 PHCS
New York Other AA50725 PHCS
New York Other ED5839 PHCS
New York Other P1065411 PHCS

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