Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 017143 | NY |
NPI | 1023354313 |
---|---|
Provider Name | Mrs. Paula Michelle Fischer |
First Address | Rochester, NY 14607-3632 |
Second Address | Mount Morris, NY 14510-1153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2012 |
Last Update Date | 14/12/2012 |