| Organization Name: | BRADLEY M FISCHMAN |
| NPI Number: | 1023459021 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY M FISCHMAN (PROSTHODONTIST) |
| Mailing Address: | 233 E Shore Rd Suite 110 Great Neck |
| State: | NY US |
| Postal Code: | 110232436 |
| Phone Number: | 5164825924 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2013 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 28787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |