Organization · Type 2 NPI
Bracha Fishman
Multi-Specialty Clinic/Center · Smithtown, NY
NPI number
1205575388
Active
Practice location
88 Terry Rd Ste 101
Smithtown, NY 11787-3811
Mailing address
88 Terry Rd Unit 12
Smithtown, NY 11787-3811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
Other multi-specialty clinic/center providers in Smithtown
About NPI 1205575388
Bracha Fishman's National Provider Identifier is 1205575388, issued on May 27, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Smithtown, NY. The record was last updated on Jun 15, 2023.