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DR BERNARD M EISEN NPI 1578605036


NPI Information

NPI: 1578605036
Provider Name: DR BERNARD M EISEN
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5782 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 634-1300
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DR BERNARD M EISEN is a general practice in Williamsville, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR BERNARD M EISEN NPI is 1578605036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5782 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221-219
Phone: (716) 634-1300
Fax: (716) 634-1378

The provider's authorized official is Bernard Meyer Elsen .
The authorized official title is Owner Dentist and has the following contact phone number (716) 634-1300.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice33942NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100620562MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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