Individual
MICHAEL STEVEN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
910 W END AVE, #1C, NEW YORK, NY 10025-3533
(212) 851-8100
(212) 932-0964
Mailing address
286 5TH AVE, 10F, NEW YORK, NY 10001-4512
(646) 935-0701
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
013619
NY
103TC0700X
Clinical Psychologist
Primary
013619
NY
103TP2701X
Group Psychotherapy Psychologist
013619
NY
Other
Enumeration date
11/01/2006
Last updated
02/18/2011
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