Provider Demographics
NPI:1669891354
Name:FLEISCHMAN, STACIE CAREN (MD)
Entity type:Individual
Prefix:
First Name:STACIE
Middle Name:CAREN
Last Name:FLEISCHMAN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:1365 YORK AVE APT 15D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4050
Mailing Address - Country:US
Mailing Address - Phone:516-647-4343
Mailing Address - Fax:
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:516-647-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2908512080P0203X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine