Individual
DR. MARK DONALD FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1207 DELAWARE AVE STE 490, BUFFALO, NY 14209-1458
(716) 830-1350
(716) 205-7525
Mailing address
3090 CLOVERBANK RD, HAMBURG, NY 14075-3424
(716) 830-1350
(716) 205-7525
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
207389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097354
—
NY
Enumeration date
03/14/2006
Last updated
11/21/2023
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