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Individual

DR. GARY MICHAEL FISHER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
68 TRAVIS AVE, STATEN ISLAND, NY 10314-6231
(718) 494-0421
(718) 494-0421
Mailing address
68 TRAVIS AVE, STATEN ISLAND, NY 10314-6231
(718) 494-0421
(718) 494-0421

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031948
NY

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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