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Individual

BRYON EUGENE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, CASAC

Contact information

Practice address
422 N MAIN ST, WARSAW, NY 14569-1023
(585) 786-8133
(585) 786-9928
Mailing address
4254 SOWERBY RD, SILVER SPRINGS, NY 14550-9721
(585) 237-2711

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13148
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00740423
NY
Enumeration date
10/02/2007
Last updated
10/02/2007
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