Eisenberg, Spencer

Eisenberg, Spencer is an individual health care provider with primary practice located at 507 Main St , Johnson City NY 13790-1810. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Eisenberg, Spencer can be contacted via phone (607) 763-8008.

Contact Information

Primary practice address
507 Main St Johnson City NY 13790-1810
Phone: (607) 763-8008
Fax: (607) 763-8019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 271528 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 271528 New York

Profile Details

NPI number 1417248113
LBN Legal business name Eisenberg, Spencer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Jul 6th, 2015 - about 9 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 1417248113 NPPES
New York MEDICAID 04109766

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