Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 246106 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA09174200 | NJ |
NPI | 1417115767 |
---|---|
Provider Name | Dr. Charla Roland Fischer |
First Address | New York, NY 10016-2772 |
Second Address | New York, NY 10016-2772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1417115767 | NPI 1417115767 (01) | NY |