Provider Demographics
NPI:1871628990
Name:EISENSTEIN, ESTHER B (MD,)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:B
Last Name:EISENSTEIN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18458 VIA DI SORRENTO
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1965
Mailing Address - Country:US
Mailing Address - Phone:561-852-1912
Mailing Address - Fax:561-852-1912
Practice Address - Street 1:18458 VIA DI SORRENTO
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1965
Practice Address - Country:US
Practice Address - Phone:561-852-1912
Practice Address - Fax:561-852-1912
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME36613208000000X
FLME3613208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics