Organization
CATSKILL DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J FISHMAN MD (OWNER)
(845) 794-3030
Entity
Organization
Contact information
Practice address
110 BRIDGEVILLE RD, MONTICELLO, NY 12701
(845) 794-3030
(845) 794-3036
Mailing address
110 BRIDGEVILLE RD., MONTICELLO, NY 12701
(845) 794-3030
(845) 794-3036
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01429941
MEDICAID
NY
01
—
2K5762
BCBS
NY
01
—
2K5763
BCBS
NY
01
—
N3955
RAILROAD MEDICARE
NY
Enumeration date
02/07/2007
Last updated
04/29/2008
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