Provider Demographics
NPI:1083745269
Name:FISHLER, CRAIG HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:HOWARD
Last Name:FISHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ALTESSA BLVD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5202
Mailing Address - Country:US
Mailing Address - Phone:718-216-9116
Mailing Address - Fax:
Practice Address - Street 1:222 ALTESSA BLVD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-5202
Practice Address - Country:US
Practice Address - Phone:718-216-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX003856OtherD.C. NYS LICENSE NUMBER