Individual
DR. ROWAN FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 PARK STREET, MALONE, NY 12953
(518) 481-5030
(518) 481-5339
Mailing address
104 PARK STREET, MALONE, NY 12953
(518) 481-5030
(518) 481-5339
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
134131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354114
—
NY
01
—
DD0980
ALICE HYDE MEDICAL CENTER
NY
Enumeration date
12/06/2006
Last updated
07/09/2008
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