Individual
IRVING FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-6464
(721) 226-3822
Mailing address
35 PARK AVE, 10A, NEW YORK, NY 10016-3838
(212) 263-6464
(212) 263-8228
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
098389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098389-N02
HIP
NY
01
—
0M0762
HEALTH NET
NY
Enumeration date
09/14/2005
Last updated
07/08/2007
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