Individual
ELLIOT DANIEL FISHBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
151 W 19TH ST FL 2, NEW YORK, NY 10011-4116
(212) 463-8338
(212) 463-8309
Mailing address
615 FORT WASHINGTON AVE, NEW YORK, NY 10040-3954
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
62 022212
NY
Other
Enumeration date
03/30/2007
Last updated
09/30/2011
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