| Organization Name: | DR BRUCE FISCHER DPM LLC |
| NPI Number: | 1215149067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE D FISCHER (DOCTOR) |
| Mailing Address: | 19 Edward Lempka Drive Florida |
| State: | NY US |
| Postal Code: | 10921 |
| Phone Number: | 8456513668 |
| Fax Number: | 8456511697 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | N005818-2 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |