Provider Demographics
NPI:1356860522
Name:FISHMAN, SARA (MS-SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:FISHMAN
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:G
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:775 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2259
Mailing Address - Country:US
Mailing Address - Phone:646-531-0828
Mailing Address - Fax:
Practice Address - Street 1:775 E 8TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2259
Practice Address - Country:US
Practice Address - Phone:646-531-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist