Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 206675 | NY |
NPI | 1043293665 |
---|---|
Provider Name | Dr. Claudia B Fish |
First Address | Watertown, NY 13601-9304 |
Second Address | Watertown, NY 13601-9304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 11/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01763560 | (05) | NY |
G44048 | (02) | NY |