Individual
DR. JASON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2920 HEMPSTEAD TPKE STE 2, LEVITTOWN, NY 11756-1402
(516) 796-8300
Mailing address
1925 EASTCHESTER RD APT 25H, BRONX, NY 10461-2107
(215) 290-5670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058657-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2015
Last updated
04/14/2018
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