Individual
CHARLES FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(646) 227-3813
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
281552
NY
Other
Enumeration date
01/28/2006
Last updated
07/08/2007
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