Provider Demographics
NPI:1508121229
Name:FISHOF-KLEIN, EVA CHAVIE (MSPED)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:CHAVIE
Last Name:FISHOF-KLEIN
Suffix:
Gender:F
Credentials:MSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 PENINSULA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1541
Mailing Address - Country:US
Mailing Address - Phone:516-295-1230
Mailing Address - Fax:212-201-3221
Practice Address - Street 1:950 PENINSULA BLVD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1541
Practice Address - Country:US
Practice Address - Phone:516-295-1230
Practice Address - Fax:212-201-3221
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist