National Provider Identifier
Jeffrey Craig Eisenberg, MD
Jeffrey Craig Eisenberg, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Fairport, NY and a listed phone number of (585) 223-6111.
Profile Overview
- NPI
- 1720046402
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 03, 2006
- Last Updated
- July 08, 2007
Practice Location
- 460 Cross Keys Office Park
- Fairport Pediatrics
- Fairport, NY 14450
Phone: (585) 223-6111
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1720046402
- Entity Type
- Individual
- Last Name
- Eisenberg
- First Name
- Jeffrey
- Middle Name
- Craig
- Credential
- MD
- Mailing Street Address
- 460 Cross Keys Office Park
- Mailing Address Line 2
- Fairport Pediatrics
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450
- Mailing Country
- US
- Mailing Phone
- (585) 223-6111
- Mailing Fax
- (585) 223-0878
- Practice Street Address
- 460 Cross Keys Office Park
- Practice Address Line 2
- Fairport Pediatrics
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 223-6111
- Practice Fax
- (585) 223-0878
- Enumeration Date
- May 03, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)