Organization
FISHER WALLACE LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES AVERY FISHER (PRESIDENT)
(212) 688-8100
Entity
Organization
Contact information
Practice address
515 MADISON AVE, NEW YORK, NY 10022-5403
(212) 688-8100
(800) 657-7362
Mailing address
515 MADISON AVE, NEW YORK, NY 10022-5403
(212) 688-8100
(800) 657-7362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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