| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7719251529 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366485963 PECOS PAC ID: 0840250056 Enrollment ID: I20041012001531 |
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