Provider Demographics
NPI:1275186868
Name:FISHFELD, BAILA (MSED)
Entity Type:Individual
Prefix:
First Name:BAILA
Middle Name:
Last Name:FISHFELD
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:BAILA
Other - Middle Name:
Other - Last Name:KUPFERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:945 E 26TH ST APT 7B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3703
Mailing Address - Country:US
Mailing Address - Phone:347-418-1904
Mailing Address - Fax:
Practice Address - Street 1:1049 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-1012
Practice Address - Country:US
Practice Address - Phone:347-418-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist