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Organization
BRACHA FISHMAN
Active
Organization
BRACHA FISHMAN
Active
Other names
Eden Health Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRACHA ORIANA FISHMAN RN (OWNER)
(917) 686-2412
Entity
Organization
Contact information
Practice address
88 TERRY RD STE 101, SMITHTOWN, NY 11787-3811
(917) 686-2412
Mailing address
88 TERRY RD UNIT 12, SMITHTOWN, NY 11787-3811
(917) 686-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
261Q00000X
Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/27/2022
Last updated
06/15/2023
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