MEDICARE: MR. HOWARD CHARLES EISENSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	191924	NY
2	207RC0000X	Cardiovascular Disease Physician	191924	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	060059436	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1761705	OTHER	UNITED HEALTHCARE
2	09Y01S844	OTHER	HEALTH PLUS
3	2C8878	OTHER	HEALTH NET
4	BK00409305	OTHER	AMERICHOICE
5	1960027002	OTHER	CIGNA
6	2109442	OTHER	AETNA
7	P967811	OTHER	OXFORD
9	191924	OTHER	HIP
10	191924B15	OTHER	HEALTH FIRST
11	10829	OTHER	ELDERPLAN
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	BK0049304	OTHER	AMERICHOICE

General Provider Information

NPI Number	:	1780679993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOWARD CHARLES EISENSTEIN MD

Provider Business Mailing Address
First Line	:	1262 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5102
Country	:	US
Telephone Number	:	718-859-5843
Fax Number	:	718-859-6284

Provider Business Practice Location Address
First Line	:	1262 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5102
Country	:	US
Telephone Number	:	718-859-5843
Fax Number	:	718-859-6284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/05/2011

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Directions to “ MR. HOWARD CHARLES EISENSTEIN MD” Practice Location

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