MEDICARE: JUSTIN FISHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	024677	NY

General Provider Information

NPI Number	:	1700411261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN FISHER

Provider Business Mailing Address
First Line	:	156 W 77TH ST APT 3B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6966
Country	:	US
Telephone Number	:	804-382-4405
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 W 77TH ST APT 3B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6966
Country	:	US
Telephone Number	:	804-382-4405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2020
Last Update Date	:	03/05/2020

Similar Medicare Providers

1831724046 — JONATHAN DAY
Practice Location Address:

429 E 65TH ST APT 3
NEW YORK, NY
10065-6966

Practice Phone: --
Practice Fax:

1508712217 — NICOLE BUDD FNP-C
Practice Location Address:

7213 BODKIN WAY
NEW MARKET, MD
21774-6966

Practice Phone: 443-989-8877
Practice Fax:

1114645488 — SABRINA MARIE LINVILLE NP
Practice Location Address:

1331 W NEW RIVER RD
NEW RIVER, AZ
85087-6966

Practice Phone: --
Practice Fax:

1982312690 — ZEV VEL LMSW
Practice Location Address:

593 COLUMBUS AVE
NEW YORK, NY
10024-1998

Practice Phone: 646-946-0483
Practice Fax:

1376120006 — KERRIE MARTIN LMSW
Practice Location Address:

345 W 86TH ST # 414
NEW YORK, NY
10024-3113

Practice Phone: 917-330-4797
Practice Fax:

1932052453 — UPPER WEST SIDE PODIATRY PC
Practice Location Address:

250 W 90TH ST
NEW YORK, NY
10024-1100

Practice Phone: 917-750-6157
Practice Fax:

Directions to “ JUSTIN FISHER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.