Fishkin, Michael Mark
Fishkin, Michael Mark is an sole proprietor health care provider with primary practice located at 2500 Nesconset Hwy Bldg 7D, Stony Brook NY 11790-2555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fishkin, Michael Mark can be contacted via phone (631) 751-3322.Contact Information
Primary practice address
2500 Nesconset Hwy Bldg 7D
Stony Brook NY 11790-2555
Phone: (631) 751-3322
Fax: (631) 751-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 121941 | New York |
Profile Details
| NPI number | 1194798454 |
|---|---|
| LBN Legal business name | Fishkin, Michael Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194798454 | NPPES |
| New York | MEDICAID | 00315320 |
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