Organization
SUSAN FISHER, OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN FISHER O.D. (PRESIDENT)
(516) 783-6460
Entity
Organization
Contact information
Practice address
1600 STEWART AVE STE 108, WESTBURY, NY 11590-6611
(516) 783-6460
Mailing address
1600 STEWART AVE STE 108, WESTBURY, NY 11590-6611
(516) 783-6460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275812570
NPI
NY
Enumeration date
08/04/2011
Last updated
11/22/2011
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