Individual
IRA S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
355 POST AVE, WESTBURY, NY 11590-2265
(516) 333-3253
(516) 333-8452
Mailing address
32 CEDAR RIDGE LN, DIX HILLS, NY 11746-7941
(631) 462-5446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004595-1
NY
Other
Enumeration date
11/04/2005
Last updated
12/22/2009
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