Active NPIIndividual provider

Mrs. Polina Fishman, LAC

Counselor, Mental Health in Eatontown, New Jersey

NPI Number1962224097
Practice location
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Fax
—
Last updated
October 29, 2024

Polina Fishman is a Counselor, Mental Health based in Eatontown, NJ. Polina Fishman practices in Eatontown, NJ and has the professional credentials of LAC. The NPI Number for Polina Fishman is 1962224097 and holds a License No. 37AC00833700 (NJ). The current practice location address for Polina Fishman is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273 and can be reached out via phone at 732-724-1234.

Provider Profile Details

NPI Number
1962224097
Provider Name
Polina Fishman
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Phone Number
732-724-1234
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2024
Last Update Date
October 29, 2024
Certification Date
October 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD Ste 3B
Eatontown, NJ 07724-1273
Zip
07724-1273
Phone Number
732-724-1234
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
Po Box 11
Manalapan, NJ 07726-0011
City
Manalapan
State
NJ
Zip
07726-0011
Phone Number
917-678-2188

License Information

License Number
37AC00833700
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Polina Fishman, LAC?

The NPI number of Mrs. Polina Fishman, LAC is 1962224097. It was assigned on October 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Polina Fishman, LAC?

Mrs. Polina Fishman, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00833700.

Where does Mrs. Polina Fishman, LAC practice?

The practice location is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273. The office can be reached at 732-724-1234 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962224097 directly on the NPPES registry website.

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