Eisenberger, Eliezer
Eisenberger, Eliezer is an sole proprietor health care provider with primary practice located at 4915 Broadway Suite 1J, New York NY 10034-3119. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Eisenberger, Eliezer can be contacted via phone (212) 569-5700.Contact Information
Primary practice address
4915 Broadway Suite 1J
New York NY 10034-3119
Phone: (212) 569-5700
Fax: (212) 569-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 006432 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00323200 | New Jersey |
Profile Details
| NPI number | 1518246768 |
|---|---|
| LBN Legal business name | Eisenberger, Eliezer |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2011 |
| Last updated | Apr 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518246768 | NPPES |
| Other | 006432 | NY STATE LICENSE NUMBER |
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