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Individual

MR. DAVID W FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTMA

Contact information

Practice address
290 LARKFIELD RD UNIT B, EAST NORTHPORT, NY 11731-2444
(631) 547-5500
(631) 427-2223
Mailing address
290 LARKFIELD RD UNIT B, EAST NORTHPORT, NY 11731-2444
(631) 547-5500
(631) 427-2223

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
012591-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANC1445
OXFORD NUMBER
NY
01
Q79241
EMPIRE NUMBER
NY
Enumeration date
08/02/2006
Last updated
03/17/2018
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