Individual
JOHN R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 WOODS ROAD, TAYLOR E-126, VALHALLA, NY 10595
(914) 493-1839
Mailing address
100 WOODS ROAD, TAYLOR E-126, VALHALLA, NY 10595
(914) 493-1839
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
439814
NY
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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