Wiseman, Eshagh

Wiseman, Eshagh is an individual health care provider with primary practice located at 21 Cary Rd , Great Neck NY 11021-1517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wiseman, Eshagh can be contacted via phone (516) 946-8333.

Contact Information

Primary practice address
21 Cary Rd Great Neck NY 11021-1517
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 137450 New York

Profile Details

NPI number 1265537005
LBN Legal business name Wiseman, Eshagh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 27th, 2012 - about 12 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 1265537005 NPPES
New York MEDICAID 01131286

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