Fishman, Jirina V

Fishman, Jirina V is an individual health care provider with primary practice located at 1 Ivy Place , Valley Stream NY 11581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fishman, Jirina V can be contacted via phone (516) 791-5551.

Contact Information

Primary practice address
1 Ivy Place Valley Stream NY 11581
Fax: (516) 791-1622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 128551 New York

Profile Details

NPI number 1083776306
LBN Legal business name Fishman, Jirina V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083776306 NPPES
New York MEDICAID 00237747

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