Provider Demographics
NPI:1699781088
Name:FISHER, EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 EAST 85 STREET
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-472-7370
Mailing Address - Fax:212-472-7336
Practice Address - Street 1:45 EAST 85 STREET
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:212-472-7370
Practice Address - Fax:212-472-7336
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168215207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
7799603OtherAET
P00154553OtherRR MEDICARE
805455OtherUNITED
3001OtherNEIC SITE ID
51935917OtherATLANTIS
NS773OtherOXFORD
168215A12Other1199 HOME CARE
2103597OtherGHI NON PAR
561Q01OtherBLUE CROSS
1022980003OtherCIGNA
3C3376OtherHEALTHNET
3C3376OtherHEALTHNET
NS773OtherOXFORD
561Q01OtherBLUE CROSS