Individual
JOSEPH FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 MONTAUK HGWY, WEST ISLIP, NY 11795
(631) 587-5444
(631) 587-4938
Mailing address
532 BROADHOLLOW RD, SUITE 142, MELVILLE, NY 11747-3672
(516) 931-0041
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
181787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001075634
UNITED HEALTHCARE
—
01
—
1099813
GHI
—
01
—
112677136020
CIGNA
—
01
—
181787
HIP
—
01
—
34096
VYTRA
—
01
—
4362351
AETNA
—
01
—
464045
USHC
—
01
—
78L781
BCBS
NY
01
—
AA00399
MDNY
—
01
—
CS585
OXFORD
—
Enumeration date
11/27/2006
Last updated
05/18/2012
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