Provider Demographics
NPI:1356376370
Name:FIJMAN, ALEX E (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:E
Last Name:FIJMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:310 N HIGHLAND AVE STE 2
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-6301
Practice Address - Country:US
Practice Address - Phone:914-762-4141
Practice Address - Fax:914-762-8350
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230689207R00000X
NY2306891207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01054303OtherMEDICARE RAILROAD
NY02919208Medicaid
NYP01054303OtherMEDICARE RAILROAD
NYA400066404Medicare UPIN