Individual
MR. CHARLES FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
425 KINGS HWY, BROOKLYN, NY 11223-1629
(718) 787-1100
Mailing address
1623 3RD AVE APT 18F, NEW YORK, NY 10128-3641
(917) 374-0009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
017884-R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02858684
—
NY
Enumeration date
07/10/2007
Last updated
07/10/2007
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