Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 0401412638 | VA |
N | 213EG0000X | General Practice | 0401412638 | VA |
N | 1223G0001X | General Practice | 055875-1 | NY |
N | 213EG0000X | General Practice | 055875-1 | NY |
N | 1223G0001X | General Practice | 12337 | CT |
N | 213EG0000X | General Practice | 12337 | CT |
N | 1223P0106X | Oral and Maxillofacial Pathology | 055875-1 | NY |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 12337 | CT |
NPI | 1912230533 |
---|---|
Provider Name | Dr. Jeffrey Eskendri |
First Address | Beaver Falls, PA 15010-1111 |
Second Address | New Haven, CT 06510-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2009 |
Last Update Date | 16/04/2019 |