Provider Demographics
NPI:1225087950
Name:FISHKIND, DEBORAH (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:FISHKIND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5614
Mailing Address - Country:US
Mailing Address - Phone:845-357-7830
Mailing Address - Fax:845-357-8263
Practice Address - Street 1:133 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5614
Practice Address - Country:US
Practice Address - Phone:845-357-7830
Practice Address - Fax:845-357-8263
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215224-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02335055Medicaid
NY5N6521Medicare ID - Type UnspecifiedNY MEDICARE
NYH74671Medicare UPIN