Provider Demographics
NPI:1689637621
Name:FLEISHAKER, HASKEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HASKEL
Middle Name:
Last Name:FLEISHAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 YORK AVE APT 23H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7812
Mailing Address - Country:US
Mailing Address - Phone:917-887-4776
Mailing Address - Fax:
Practice Address - Street 1:18 E 48TH ST RM 1301B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1058
Practice Address - Country:US
Practice Address - Phone:512-715-4858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1732902085R0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02528747Medicaid
NY02528747Medicaid
NY30L721Medicare ID - Type Unspecified