Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 4137 | NY |
NPI | 1104960152 |
---|---|
Provider Name | Dr. Steven T Fishman |
First Address | New York, NY 10017-1801 |
Second Address | New York, NY 10016-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 05/12/2016 |