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NPI Code Detail

MEDICARE: DR. REBECCA FISHMAN DO

MEDICARE:  DR. REBECCA  FISHMAN  DO
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
1208100000XPhysical Medicine & Rehabilitation Physician229901NY

General Provider Information

NPI Number : 1336171909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA FISHMAN DO
Provider Business Mailing Address
First Line : 16 WILSHIRE DR
Second Line :
City : SYOSSET
State : NY
Zip : 11791-2921
Country : US
Telephone Number : 516-897-2692
Fax Number : 516-897-0941
Provider Business Practice Location Address
First Line : 18 JACKSON AVE
Second Line : STE 3
City : SYOSSET
State : NY
Zip : 11791-3137
Country : US
Telephone Number : 516-544-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/30/2018

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Directions to “ DR. REBECCA FISHMAN DO” Practice Location

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