Doctor Name: | IRA S FISHER |
NPI Number: | 1013908284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | X004595-1 |
Business Practice Address: | 355 Post Ave Westbury, NY - 115902265 |
Business Phone Number: | 5163333253 |
Business Fax Number: | 5163338452 |
Mailing Address: | 32 Cedar Ridge Ln, DIX HILLS |
State: | NY |
Postal Code: | 117467941 |
Phone Number: | 6314625446 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 12/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X004595-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |