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Individual
SUSAN FISCHBECK
Active
Individual
SUSAN FISCHBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
162726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010055503
UNIVERA
NY
01
—
000504780004
BC/BS
NY
05
—
01083912
—
NY
01
—
040426001493
FIDELIS
NY
01
—
1208949
IHA
NY
01
—
14692DL
PREFERRED CARE
NY
Enumeration date
10/05/2005
Last updated
09/26/2011
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