Healthcare Provider Details

I. General information

NPI: 1730275249
Provider Name (Legal Business Name): ALAN FISCHER R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3693 HILL BLVD
JEFFERSON VALLEY NY
10535-1501
US

IV. Provider business mailing address

3693 HILL BLVD
JEFFERSON VALLEY NY
10535-1501
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-6553
  • Fax: 914-962-6228
Mailing address:
  • Phone: 914-962-6553
  • Fax: 914-962-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number034734-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: