Individual
BEVERLEY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2924 COLDEN AVE, BRONX, NY 10469-3914
(718) 652-7584
Mailing address
2924 COLDEN AVE, BRONX, NY 10469-3914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300189-1
NY
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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