Palisades Physician

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

220382-1 Issued in NY

Legal business name

PALISADES PHYSICIAN

Practice address

2 Medical Park Dr
West Nyack, NY 10994-1965

Phone

(845) 535-3098

NPI assigned

Jul 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Seth Eisenberg, MD

Title

Ceo

Phone

(845) 535-3098

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1013221316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "845-535-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "845-535-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-535-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "220382-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clement Y Osei, MD
• Tina G Ottomano, COTA
• Nicole Alexis Pagano, OTR/L
• Palisades Advanced Imaging, PC
• Palisades Mall Dental LLP
• Palisades Pulmonary & Medical, P.C.
• Maria Palmer, LCSW
• Ghousia Jabeen Pasha, M.D.
• Rachana Patel
• Seema G Patel, O.D.

• Pain Clinic/Center in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.