Lisa C Fishman Md Pllc | |
1165 Park Ave Ste 1a New York NY 10128 | |
(646) 215-9995 | |
(646) 215-9999 |
Full Name | Lisa C Fishman Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1165 Park Ave Ste 1a, New York, New York |
Authorized Official Name and Position | Lisa C Fishman (PHYSICIAN/OWNER) |
Authorized Official Contact | 6462159995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lisa C Fishman Md Pllc 1165 Park Ave Ste 1a New York NY 10128-1248 Ph: (646) 215-9995 | Lisa C Fishman Md Pllc 1165 Park Ave Ste 1a New York NY 10128 Ph: (646) 215-9995 |
NPI Number | 1972027399 |
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Provider Enumeration Date | 07/27/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7719251529 |
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Medicare Enrollment ID | O20170918002006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972027399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 211070 (New York) | Primary |
Provider Name | Lisa C Fishman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366485963 PECOS PAC ID: 0840250056 Enrollment ID: I20041012001531 |
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