# BRACHA FISHMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eden Health Mental Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205575388
- **Authorized official:** BRACHA ORIANA FISHMAN RN (OWNER)
- **Authorized official phone:** (917) 686-2412

## Contact information

- **Practice address:** 88 TERRY RD STE 101, SMITHTOWN, NY 11787-3811
- **Practice address phone:** (917) 686-2412
- **Mailing address:** 88 TERRY RD UNIT 12, SMITHTOWN, NY 11787-3811
- **Mailing address phone:** (917) 686-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 06/15/2023