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Contact Information

EVAN R EISENBERG, MD
4100 DUFF PL
SUITE A
SEAFORD, NY11783-1324
 Phone: 516-520-8080
 Fax: 516-520-8877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for EVAN R EISENBERG · (Male)

NPI Number 1750315883
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 04/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 236718
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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