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Contact Information

STEVEN J FISHMAN, MD
110 BRIDGEVILLE RD
MONTICELLO, NY12701-1742
 Phone: 845-794-3030
 Fax: 845-794-3036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for STEVEN J FISHMAN · (Male)

NPI # 1528016540
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 09/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 191489
  • NY Medicaid 01429941
  • Other 471175 AETNA US HEALTHCARE
  • Other 077123 MVP
  • Other YS073 OXFORD
  • Other N3955 RAILROAD MEDICARE - GROUP
  • Other 41046 VYTRA
  • Other 113873 WELLCARE
  • NY Other 4341143 AETNA
  • NY Other 2K5762 BCBS
  • NY Other 2K5763 BCBS
  • NY Other 060329000047 FIDELIS CARE OF NEW YORK
  • NY Other 13873 GHI-HMO
  • NY Other 2200250 GHI-PPO
  • NY Other 2C8901 HEALTH NET
  • NY Other 221986P HIP
  • NY Other 92823P HIP
  • NY Other 070011167 RAILROAD MEDICARE
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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