Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 154544-1 | NY |
NPI | 1083677140 |
---|---|
Provider Name | Dr. Jeffrey Fichter |
First Address | Rochester, NY 14618-2608 |
Second Address | Rochester, NY 14618-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 01/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B75069 | (02) | NY |