| Doctor Name: | DR. MITCHELL FISHBACH |
| NPI Number: | 1063424018 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 135286 |
| Business Practice Address: | 688 White Plains Road Suite 201 Scarsdale, NY - 105835015 |
| Business Phone Number: | 9147226300 |
| Business Fax Number: | 9147222133 |
| Mailing Address: | 210 Westchester Ave, WHITE PLAINS |
| State: | NY |
| Postal Code: | 106042901 |
| Phone Number: | 9147226300 |
| Fax Number: | 9146826403 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 135286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |