Individual
DR. BILLA MIRIAM FISHER RADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12046 QUEENS BLVD, KEW GARDENS, NY 11415-1204
(718) 793-3341
(718) 268-1666
Mailing address
20 WINTER ST, FOREST HILLS, NY 11375-6038
(718) 896-5537
(718) 268-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
179315
NY
207RN0300X
Nephrology Physician
Primary
179315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405247
—
NY
Enumeration date
12/25/2006
Last updated
05/21/2015
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