Steven J. Eisner, D.O.
Individual provider Active NPI Family Medicine Physician · Lloyd Harbor, NY
NPI 1407112378 · NPPES record last updated Apr 5, 2012
Key facts
- NPI
- 1407112378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 60-136839 (NY)
- Practice address
- 14 Seaforth LN
Lloyd Harbor, NY 11743-9714 - Phone
- (631) 385-8590
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60-136839 | NY | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60-136839 | NY | Yes |
Addresses
Primary practice location
14 Seaforth LN
Lloyd Harbor, NY 11743-9714
Mailing address
14 Seaforth LN
Lloyd Harbor, NY 11743-9714
Phone (631) 385-8590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60-136839 | Other | NY | NYS LICENSE # |
Other providers in Lloyd Harbor, NY
- Louis Patrick Belcastro
- Brian Neil Belovitch
- Brian C Casserly
- Chloe Chong
- Flore Christelle Ducheine
- Jannatun Ferdowsi
- Danielle Marie Fischetti
- Lynn Karen Fuschillo
- George Matthew Gates
- Tess Morgan Goldfarb
All providers in Lloyd Harbor, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.