Individual
AMY FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, PD
Contact information
Practice address
1763 2ND AVE APT 6N, NEW YORK, NY 10128-5366
(347) 743-2730
Mailing address
1763 2ND AVE APT 6N, NEW YORK, NY 10128-5366
(347) 743-2730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/28/2012
Last updated
07/21/2022
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