Individual
STEVEN J. FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 BRIDGEVILLE RD, MONTICELLO, NY 12701-1742
(845) 794-3030
(845) 794-3036
Mailing address
110 BRIDGEVILLE ROAD, MONTICELLO, NY 12701-1742
(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
05
—
01429941
—
NY
01
—
060329000047
FIDELIS CARE OF NEW YORK
NY
01
—
070011167
RAILROAD MEDICARE
NY
01
—
077123
MVP
—
01
—
113873
WELLCARE
—
01
—
13873
GHI-HMO
NY
01
—
2200250
GHI-PPO
NY
01
—
221986P
HIP
NY
01
—
2C8901
HEALTH NET
NY
01
—
2K5762
BCBS
NY
01
—
2K5763
BCBS
NY
01
—
41046
VYTRA
—
01
—
4341143
AETNA
NY
01
—
471175
AETNA US HEALTHCARE
—
01
—
92823P
HIP
NY
01
—
N3955
RAILROAD MEDICARE - GROUP
—
01
—
YS073
OXFORD
—
Enumeration date
05/04/2006
Last updated
09/06/2011
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