Individual
JONATHAN D FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3460
(718) 343-4642
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
227830
NY
Other
Enumeration date
05/18/2007
Last updated
07/07/2008
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