Provider Demographics
NPI:1427204395
Name:FISHER CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:FISHER CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-472-7370
Mailing Address - Street 1:45 E 85TH ST
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0957
Mailing Address - Country:US
Mailing Address - Phone:212-472-7370
Mailing Address - Fax:212-472-7336
Practice Address - Street 1:45 E 85TH ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0957
Practice Address - Country:US
Practice Address - Phone:212-472-7370
Practice Address - Fax:212-472-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168215174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
43F541OtherMEDICAE TPAN
NYE44825Medicare UPIN