Individual
DR. JIRINA V FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 IVY PLACE, VALLEY STREAM, NY 11581
(516) 791-5551
(516) 791-1622
Mailing address
1 IVY PLACE, VALLEY STREAM, NY 11581
(516) 791-1622
(516) 791-1622
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00237747
—
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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