Individual
MARTIN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LIJMC DEPT OF PED DIV. OF ADOLES MED, 410 LAKEVILLE ROAD, NEW HYDE PARK, NY 11042
(516) 465-5459
Mailing address
LIJMC DEPT OF PED DIV. OF ADOLES MED, LIJMC DEPT OF PED DIV. OF ADOLES MED, NEW HYDE PARK, NY 11042
(516) 465-5459
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
128181
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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