Geoffrey William Fisher
General Practice Physician
11050 Mount Belvedere Blvd
Fort Drum
, New York 13602-5438
Geoffrey William Fisher
General Practice Physician
11050 Mount Belvedere Blvd
Fort Drum
, New York 13602-5438
(315) 774-1451
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Geoffrey William Fisher
- 11050 Mount Belvedere Blvd
- Fort Drum, NY
- Zip : 13602-5438
- Phone : (315) 774-1451
Second Address
- Geoffrey William Fisher
- 11050 Mount Belvedere Blvd
- Fort Drum, NY
- Zip : 13602-5438
- Phone : (315) 774-1451
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 295811 | NY |
National Provider Identifier
| NPI | 1023558111 |
|---|---|
| Provider Name | Geoffrey William Fisher |
| First Address | Fort Drum, NY 13602-5438 |
| Second Address | Fort Drum, NY 13602-5438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2017 |
| Last Update Date | 11/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.