Individual
RICARDO GLADSTON FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1715 UNIVERSITY AVE, BRONX, NY 10453
(718) 294-0700
(718) 960-5616
Mailing address
1570 GRAND AVE, UNIT 14, NORTH BALDWIN, NY 11510-1850
(516) 223-5522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011852
NY
Other
Enumeration date
07/23/2007
Last updated
03/17/2008
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