| Douglas Fisher, PAC | |
|
117 Hampton Rd, Southampton, NY 11968-4923 | |
| (631) 287-8600 | |
| (631) 204-1585 |
| Full Name | Douglas Fisher |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 117 Hampton Rd, Southampton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245235761 | NPI | - | NPPES |
| 30584 | Other | RI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA00256 (Rhode Island) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 23-013281 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Fisher, PAC Po Box 273, East Marion, NY 11939 Ph: (631) 287-8600 | Douglas Fisher, PAC 117 Hampton Rd, Southampton, NY 11968-4923 Ph: (631) 287-8600 |
Peter D Shelton, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Meeting House Ln Bldg 2, Suite 301, Southampton, NY 11968 Phone: 631-287-9477 | |
Elaine Mary Mccarthy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Stony Brook Southampton Hospital, 240 Meeting House Lane, Southampton, NY 11968 Phone: 631-726-8200 | |
Crystal Joy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8476 | |
Ms. Sara Nardi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Meeting House Lane, Surgical Specialties, Southampton, NY 11968 Phone: 631-726-8717 | |
Pamela Devon Smoller, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 N Sea Rd, Southampton, NY 11968 Phone: 631-283-4843 | |
Mr. Robert O. Lemp, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8476 |