Individual
MRS. DIANE MARY FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH. CPG
Contact information
Practice address
935 S LAKE BLVD, SUITE 6, MAHOPAC, NY 10541-3218
(845) 208-3328
Mailing address
935 S LAKE BLVD, SUITE 6, MAHOPAC, NY 10541-3218
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
034688-1
NY
Other
Enumeration date
11/21/2006
Last updated
03/15/2017
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