Fishman, Gary S

Fishman, Gary S is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 208 , Daytona Beach FL 32117-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fishman, Gary S can be contacted via phone (386) 231-3593.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 208 Daytona Beach FL 32117-5169
Phone: (386) 231-3593
Fax: (386) 231-3595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 143907 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME158843 Florida

Profile Details

NPI number 1831138304
LBN Legal business name Fishman, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 20th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831138304 NPPES
New York MEDICAID 01184647

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