| Fiszbein Inc | |
|
4311 E Lohman Ave Ste B Las Cruces NM 88011-8255 | |
| (915) 219-4300 | |
| (915) 519-4300 |
| Full Name | Fiszbein Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4311 E Lohman Ave Ste B, Las Cruces, New Mexico |
| Authorized Official Name and Position | Abraham Fiszbein (PRESIDENT) |
| Authorized Official Contact | 9152194300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiszbein Inc 5746 Trowbridge Dr El Paso TX 79925-3341 Ph: (915) 219-4300 | Fiszbein Inc 4311 E Lohman Ave Ste B Las Cruces NM 88011-8255 Ph: (915) 219-4300 |
| NPI Number | 1609983139 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/11/2022 |
| Medicare PECOS PAC ID | 7416957113 |
|---|---|
| Medicare Enrollment ID | O20070103000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609983139 | NPI | - | NPPES |
| DG4652 | Other | RR MEDICARE | |
| 15799 | Medicaid | NM | |
| NM003298 | Other | NM | BCBS OF NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Abraham Fiszbein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700859956 PECOS PAC ID: 9032115464 Enrollment ID: I20061009000042 |
| Provider Name | Amy Gorelick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851519854 PECOS PAC ID: 8022271113 Enrollment ID: I20120530000435 |
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