Organization
BRADLEY M FISCHMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY M FISCHMAN (PROSTHODONTIST)
(516) 482-5924
Entity
Organization
Contact information
Practice address
233 E SHORE RD, SUITE 110, GREAT NECK, NY 11023-2436
(516) 482-5924
Mailing address
233 E SHORE RD, SUITE 110, GREAT NECK, NY 11023-2436
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
28787
NY
Other
Enumeration date
07/08/2013
Last updated
07/11/2013
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