Selig Eisenberg,M.D., PC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

085040 Issued in NY

Legal business name

SELIG EISENBERG,M.D., PC.

Practice address

3201 Grand Concourse Apt 1C
Bronx, NY 10468-1226

Phone

(718) 367-7400

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Selig Eisenberg

Title

President

Phone

(718) 367-7400

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073782736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681226",
            "telephone_number": "718-367-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681226",
            "telephone_number": "718-367-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELIG EISENBERG,M.D., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "SELIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-367-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "085040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "085040",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100000647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00129511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Selekman, PH.D.
• Elizabeth Gabrielle Selesny, PA-C
• Self
• Selff Recovery Coaching
• Melissa Selian
• Sandra J Selikson, MD
• Samantha Sellers
• Yael Nina Selter, M.A. CCC-SLP TSSLD
• Yolanda Seltzer, LMSW
• Adarsha Selvachandran, M.D.

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.