Mrs Debra Sue Fisher, RPAC, MSPA | |
540 Union Blvd, West Islip, NY 11795-3105 | |
(631) 669-2555 | |
Not Available |
Full Name | Mrs Debra Sue Fisher |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 540 Union Blvd, West Islip, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437487451 | NPI | - | NPPES |
000915 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 000915 (New York) | Primary |
Entity Name | St Francis Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760704811 PECOS PAC ID: 9234101221 Enrollment ID: O20040810001086 |
Mailing Address | Practice Location Address |
---|---|
Mrs Debra Sue Fisher, RPAC, MSPA 540 Union Blvd, West Islip, NY 11795-3105 Ph: (631) 669-2555 | Mrs Debra Sue Fisher, RPAC, MSPA 540 Union Blvd, West Islip, NY 11795-3105 Ph: (631) 669-2555 |
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