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Individual

MICHAEL C FISCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4820 W TAFT RD, SUITE 209, LIVERPOOL, NY 13088-2800
(315) 448-6215
Mailing address
4820 W TAFT RD, SUITE 209, LIVERPOOL, NY 13088-2800
(315) 448-6215

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
216017
NY
207RI0011X
Interventional Cardiology Physician
Primary
216017
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02653538
NY
Enumeration date
09/26/2005
Last updated
10/02/2008
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