Individual
LOREN M FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1009 PARK AVE, NEW YORK, NY 10028-0936
(212) 472-0077
(212) 472-4127
Mailing address
PO BOX 1357, BAYVILLE, NY 11709-0357
(516) 794-4161
(516) 794-9568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
150259
NY
Other
Enumeration date
02/16/2007
Last updated
04/08/2008
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