Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 034619 | NY |
N | 1223P0700X | Prosthodontist | 034619 | NY |
NPI | 1184881328 |
---|---|
Provider Name | Dr. Robert H Fisher |
First Address | New York City, NY 10022 |
Second Address | New York City, NY 10022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 16/05/2008 |