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NPI Code Detail

MEDICARE: CYBELE FISHMAN, M.D. PLLC

MEDICARE: CYBELE FISHMAN, M.D. PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician226205NY

General Provider Information

NPI Number : 1043508187
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYBELE FISHMAN, M.D. PLLC
Provider Business Mailing Address
First Line : 240 W 37TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5787
Country : US
Telephone Number : 917-634-4186
Fax Number :
Provider Business Practice Location Address
First Line : 240 W 37TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5787
Country : US
Telephone Number : 917-634-4186
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CYBELE FISHMAN
Credential : MD
Telephone Number : 917-679-9480
Provider Enumeration Date : 07/11/2011
Last Update Date : 02/01/2024

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