DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB EISDORFER, D.D.S.

Active Sole Proprietor

JACOB EISDORFER, D.D.S. is a 1223D0004X healthcare provider located in BROOKLYN, New York. NPI 1881919728 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · BROOKLYN, NY

Registration Details

NPI Number
1881919728
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2010 (16.366522858565 yrs)
Last Updated
Mar 24, 2015
Licenses
00055621 (NY)
22DI02480400 (NJ)
00055621 (NY)
22DI02480400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1162 42ND ST
BROOKLYN, NY, 112191213
Browse NY providers · Browse ZIP 11219
Phone
3472097158
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
1223D0004X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other 1223D0004X Providers in BROOKLYN, NY

Name Credential NPI
DR. BILL WOO SUNG KIM D.M.D. 1801047618
DR. NICHOLAS SEAN KATCHEN DDS 1598025249
DR. MARC BONGARD DMD 1972910479
GLADE COX 1427416353
DANIELLE CULPEPPER DMD 1780043059
MELANY CAMACHO D.D.S 1578910071
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.