Provider Demographics
NPI:1407252802
Name:FISHER-SCHWARZ, LEAH (MS)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:FISHER-SCHWARZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ECHO RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4314
Mailing Address - Country:US
Mailing Address - Phone:845-422-1747
Mailing Address - Fax:
Practice Address - Street 1:7 ECHO RIDGE RD
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4314
Practice Address - Country:US
Practice Address - Phone:845-422-1747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist