Individual
DR. MITCHELL FISHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
688 WHITE PLAINS ROAD, SUITE 201, SCARSDALE, NY 10583-5015
(914) 722-6300
(914) 722-2133
Mailing address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 722-6300
(914) 682-6403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
135286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027031
GHI HMO
—
01
—
0002600
GHI PPO CBP
—
05
—
01852771
—
NY
01
—
060015840
RAILROAD MEDICARE
NY
01
—
10323
CONTRACT MANAGEMENT ORG
—
01
—
1042055
UNITED HEALTHCARE
—
01
—
135286
HIP
NY
01
—
135286NY
LOCAL 1199
—
01
—
6404944010
CIGNA
—
01
—
66A041
EMPIRE BLUE CROSS
NY
01
—
OH4238
HEALTH NET
—
01
—
WS412
OXFORD
—
Enumeration date
08/11/2006
Last updated
10/16/2013
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