Provider Demographics
NPI:1467695155
Name:EISENBERG, RACHEL E (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:23 WASHINGTON SQ N
Mailing Address - Street 2:APARTMENT 2R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9169
Mailing Address - Country:US
Mailing Address - Phone:352-514-5149
Mailing Address - Fax:
Practice Address - Street 1:23 WASHINGTON SQ N
Practice Address - Street 2:APARTMENT 2R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9169
Practice Address - Country:US
Practice Address - Phone:352-514-5149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-11
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267544-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology