Dr. Clifford B. Fisch, Psyd Pc

LBN: Dr. Clifford B. Fisch, Psyd Pc
Dr. Clifford B. Fisch, Psyd Pc is an health care organization with primary practice located at 702 Bloomingdale Rd , Staten Island NY 10309. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dr. Clifford B. Fisch, Psyd Pc can be contacted via phone (718) 356-8629, or through Fisch, Clifford B via phone (718) 356-8629.

Contact Information

Primary practice address
702 Bloomingdale Rd Staten Island NY 10309
Phone: (718) 356-8629
Fax: (718) 761-3162
Website:
Map and Directions
Authorized official contact:
Name: Fisch, Clifford B PSY. D
Phone: (718) 356-8629

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015562 New York

Profile Details

NPI number 1639375819
LBN Legal business name Dr. Clifford B. Fisch, Psyd Pc
DBA Doing business as
Authorized official Fisch, Clifford B PSY. D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Jun 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639375819 NPPES
New York MEDICAID 02574874
New York Other 167144P

Popular Providers