Provider Demographics
NPI:1598922031
Name:FREEDOM OF CHOICE OB/GYN SERVICES OF WESTERN NEW YORK
Entity Type:Organization
Organization Name:FREEDOM OF CHOICE OB/GYN SERVICES OF WESTERN NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:EISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-241-8935
Mailing Address - Street 1:125 LATTIMORE RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4159
Mailing Address - Country:US
Mailing Address - Phone:585-241-8935
Mailing Address - Fax:585-241-9868
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:SUITE 280
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-241-8935
Practice Address - Fax:585-241-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130445207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB72207OtherUPIN NUMBER