MEDICARE: JOAN FLEISCHMAN M.D.

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
1	207Q00000X	Family Medicine Physician	192823	NY

General Provider Information

NPI Number	:	1760686083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN FLEISCHMAN M.D.

Provider Business Mailing Address
First Line	:	124 E 40TH ST RM 702
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-1761
Country	:	US
Telephone Number	:	718-638-8941
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 E 40TH ST RM 702
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-1761
Country	:	US
Telephone Number	:	212-431-8533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	04/10/2026

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