Organization
DR. CLIFFORD B. FISCH, PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD B FISCH PSY. D (OWNER)
(718) 356-8629
Entity
Organization
Contact information
Practice address
702 BLOOMINGDALE RD, STATEN ISLAND, NY 10309
(718) 356-8629
(718) 761-3162
Mailing address
702 BLOOMINGDALE RD, STATEN ISLAND, NY 10309-1606
(718) 356-8629
(718) 761-3162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574874
—
NY
01
—
167144P
HIP
NY
Enumeration date
06/25/2007
Last updated
06/08/2018
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