Organization
BRUCE D. FISCHER DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LEVIN (OFFICE MANAGER)
(845) 986-8400
Entity
Organization
Contact information
Practice address
9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
(845) 986-8400
(845) 986-8954
Mailing address
9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
(845) 986-8400
(845) 986-8954
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004228-1
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005818-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01071645
—
NY
Enumeration date
05/04/2007
Last updated
03/01/2021
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