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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265537005 | NPPES |
New York | MEDICAID | 01131286 |
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