Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 021140 | NY |
Y | 208600000X | Surgeon | 021140 | NY |
N | 208800000X | Urologist | 021140 | NY |
NPI | 1003332628 |
---|---|
Provider Name | Lital Fleyshmakher |
First Address | Brooklyn, NY 11234-6721 |
Second Address | Brooklyn, NY 11230-2184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 22/09/2020 |