Individual
DR. CHANDRA M. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
325 ESSJAY RD, SUITE 110, WILLIAMSVILLE, NY 14221-8243
(716) 630-1047
(716) 250-5921
Mailing address
425 ESSJAY RD, STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229869-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026856201
UNIVERA
NY
01
—
000527765001
HEALTH NOW
NY
01
—
0112620
IHA
NY
05
—
1054402
—
NY
01
—
161000580
NORTH AMERICAN PREFERRED
NY
01
—
P00142380
RR MEDICARE
NY
Enumeration date
01/09/2006
Last updated
12/13/2021
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