Provider Demographics
NPI:1275633430
Name:DAVID L. EYSLER MD PC
Entity Type:Organization
Organization Name:DAVID L. EYSLER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EYSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-937-3881
Mailing Address - Street 1:400 S OYSTER BAY RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:516-937-3881
Mailing Address - Fax:516-937-6155
Practice Address - Street 1:400 S OYSTER BAY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-937-3881
Practice Address - Fax:516-937-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F23886Medicare UPIN
30L971Medicare ID - Type Unspecified