Most Relevant Information
Provider Data
| NPI Number: | 1003179391 |
| Provider Name: | DAWN VICTORIA FISHMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2012 |
| Last Updated: | 06/21/2012 |
Provider Practice Location
2991 SHORE RD
BELLMORE
NY
117104830
Practice Location Phone/Fax
| Phone: | 5167816857 |
| Fax: |
Provider Mailing Location
2991 SHORE RD
BELLMORE
NY
117104830
Provider Mailing Phone/Fax
| Phone: | 5167816857 |
| Fax: |