Individual
BRUCE D FISCHER DPM LLC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM LLC
Contact information
Practice address
19 EDWARD J LEMPKA DR, FLORIDA, NY 10921
(845) 651-3668
(845) 651-1697
Mailing address
9 RONALD REAGAN BLVD, WARWICK, NY 10990-4115
(845) 986-8400
(845) 986-8954
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MD 1809
NJ
213E00000X
Podiatrist
Primary
N004228 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01071645
—
NY
Enumeration date
01/20/2006
Last updated
07/20/2018
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