| Dr Bernard M Eisen | |
|
5782 Main St Williamsville NY 14221-8219 | |
| (716) 634-1300 | |
| (716) 634-1378 |
| Full Name | Dr Bernard M Eisen |
|---|---|
| Speciality | General Practice |
| Location | 5782 Main St, Williamsville, New York |
| Authorized Official Name and Position | Bernard Meyer Elsen (OWNER DENTIST) |
| Authorized Official Contact | 7166341300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard M Eisen 5782 Main Street Williamsville NY 14221-8219 Ph: (716) 634-1300 | Dr Bernard M Eisen 5782 Main St Williamsville NY 14221-8219 Ph: (716) 634-1300 |
| NPI Number | 1578605036 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578605036 | NPI | - | NPPES |
| 00620562 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 33942 (New York) | Primary |
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