Jennie Fisher

NPI #1649708496 in Glendale, New York

Provider Information

NPI Number: 1649708496
Entity Type: Individual
Name: Jennie Fisher
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 24, 2017
Last Updated: May 24, 2017

Practice Location

Address: 9050 UNION TPKE APT 6J
City: Glendale
State: New York
ZIP Code: 11385-8064
Phone: (917) 468-5684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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