Individual provider · Type 1 NPI
Jack Eisenstein, D.P.M.
Foot Surgery Podiatrist · College Point, NY
NPI number
1700814159
Active
Practice location
18-15 College Point Blvd.
College Point, NY 11356
Fax (718) 538-7558
Mailing address
36 Eagle Chase
Woodbury, NY 11797-2911
Other practice locations
- 261 Jericho Tpke, Floral Park, NY 11001-2146 · (516) 492-3155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N002938 (NY) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1700814159
Jack Eisenstein, D.P.M.'s National Provider Identifier is 1700814159, issued on Jun 28, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in College Point, NY. The record was last updated on Aug 6, 2019.