Individual
DOUGLAS GRANT FISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 HACKETT BLVD, ALBANY, NY 12209-1750
(518) 262-4439
(518) 262-8460
Mailing address
66 HACKETT BLVD, ALBANY, NY 12209-1750
(518) 262-4439
(518) 262-8460
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
194867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453007
—
NY
Enumeration date
08/16/2005
Last updated
07/08/2007
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