Individual
MRS. MICHELE CUDDY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 852-1977
(716) 852-1959
Mailing address
100 HIGH STREET, BUFFALO, NY 14203
(716) 852-1977
(716) 852-1959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006656-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006656-1
STATE LICENSE
NY
05
—
02238815
—
NY
Enumeration date
05/19/2006
Last updated
09/25/2008
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