Individual
DR. SHAUL FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 ROUTE 111, HAUPPAUGE, NY 11788-4370
(631) 265-9645
(631) 265-5589
Mailing address
1771 E 29TH ST, BROOKLYN, NY 11229-2516
(718) 375-7607
(718) 375-9080
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
178629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201303
—
NY
Enumeration date
07/28/2005
Last updated
07/08/2007
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