Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 226205 | NY |
NPI | 1033181748 |
---|---|
Provider Name | Dr. Cybele Fishman |
First Address | New York, NY 10006 |
Second Address | New York, NY 10006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 27/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H90817 | (02) | |
H90817 | (02) | NY |