Individual
JENNIFER FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1366 E 32ND ST, BROOKLYN, NY 11210-5418
(718) 677-0109
Mailing address
1366 E 32ND ST, BROOKLYN, NY 11210-5418
(718) 677-0109
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008238
NY
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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