BRACHA FISHMAN NPI 1205575388

NPI Information

  • NPI: 1205575388
  • Provider Name: BRACHA FISHMAN
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: EDEN HEALTH MENTAL WELLNESS
  • Address: 88 TERRY RD STE 101
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (917) 686-2412

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NPI Details

BRACHA FISHMAN is a multi-specialty clinic center in Smithtown, NY. BRACHA FISHMAN NPI is 1205575388. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eden Health Mental Wellness.

The provider's business location address is:

88 TERRY RD STE 101
SMITHTOWN, NY
ZIP 11787-811
Phone: (917) 686-2412

The provider's authorized official is Bracha Oriana Fishman .
The authorized official title is Owner and has the following contact phone number (917) 686-2412.

The enumeration date for this NPI number is 5/27/2022 and was last updated on 6/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentNo
3163WP0808XRegistered NursePsychiatric/Mental HealthNo
4163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
5261Q00000XClinic/CenterNo
6261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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