Provider Demographics
NPI:1780679993
Name:EISENSTEIN, HOWARD CHARLES (MD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:CHARLES
Last Name:EISENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5102
Mailing Address - Country:US
Mailing Address - Phone:718-859-5843
Mailing Address - Fax:718-859-6284
Practice Address - Street 1:1262 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5102
Practice Address - Country:US
Practice Address - Phone:718-859-5843
Practice Address - Fax:718-859-6284
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191924207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1761705OtherUNITED HEALTHCARE
09Y01S844OtherHEALTH PLUS
2C8878OtherHEALTH NET
BK00409305OtherAMERICHOICE
1960027002OtherCIGNA
2109442OtherAETNA
P967811OtherOXFORD
060059436OtherRAILROAD MEDICARE
191924OtherHIP
191924B15OtherHEALTH FIRST
10829OtherELDERPLAN
NY191924Medicaid
BK0049304OtherAMERICHOICE
09Y01S844OtherHEALTH PLUS
2C8878OtherHEALTH NET