Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 122702-1 | NY |
NPI | 1013346048 |
---|---|
Provider Name | Alan R. Fleischman |
First Address | Irvington, NY 10533-1407 |
Second Address | Irvington, NY 10533-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2013 |
Last Update Date | 12/11/2013 |