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Individual

DR. JAY A FLEISCHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 WATERS PL, SUITE M104, BRONX, NY 10461-2728
(914) 315-5111
(718) 918-0442
Mailing address
1200 WATERS PL, SUITE M104, BRONX, NY 10461-2728
(914) 315-5111
(718) 918-0442

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
038615
CT
207W00000X
Ophthalmology Physician
Primary
175307-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01089087
NY
Enumeration date
06/15/2005
Last updated
10/28/2010
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