Healthcare Provider Details

I. General information

NPI: 1760686083
Provider Name (Legal Business Name): JOAN FLEISCHMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 E 40TH ST RM 702
NEW YORK NY
10016-1761
US

IV. Provider business mailing address

124 E 40TH ST RM 702
NEW YORK NY
10016-1761
US

V. Phone/Fax

Practice location:
  • Phone: 212-431-8533
  • Fax:
Mailing address:
  • Phone: 718-638-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number192823
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: