Individual
DR. JACK FUHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N BELLE MEAD RD, EAST SETAUKET, NY 11733
(631) 444-4660
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-1660
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
175545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01087374
—
NY
01
—
5063098
AETNA
NY
Enumeration date
07/12/2006
Last updated
04/27/2022
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