Provider Demographics
NPI:1336759430
Name:FISH, CHRISTOPHER COLIN (BSN, RN)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:COLIN
Last Name:FISH
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COUNTY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1537
Mailing Address - Country:US
Mailing Address - Phone:914-948-1192
Mailing Address - Fax:914-948-1365
Practice Address - Street 1:10 COUNTY CENTER RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1537
Practice Address - Country:US
Practice Address - Phone:914-948-1192
Practice Address - Fax:914-948-1365
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY758029163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health