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Contact Information

TIMOTHY FISHMAN, DPM
625 PARKVIEW DR STE 102
TROPHY CLUB, TX76262-4204
 Phone: 917-667-4514
 Fax: 469-620-7558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY FISHMAN · (Male)

NPI Number 1083933618
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/21/2010
Last updated 06/26/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006554
  • TX License # 692183
Hospital affiliation(s)
  • ST LUKE'S CORNWALL HOSPITAL - (Acute Care)
    70 DUBOIS STREET
    NEWBURGH, NY 12550
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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