Individual
JACLYN S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0318
Mailing address
249 TREETOP LN, RYE BROOK, NY 10573-1609
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350471
NY
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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