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NPI Code Detail

MEDICARE: MR. JAMES BRUCE FISHER

MEDICARE: MR. JAMES BRUCE 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1083356653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES BRUCE FISHER
Provider Business Mailing Address
First Line : 4200 HERKIMER PL APT 7A
Second Line :
City : BRONX
State : NY
Zip : 10470-1940
Country : US
Telephone Number : 347-809-1429
Fax Number :
Provider Business Practice Location Address
First Line : 3220 AVENUE H APT 1H
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3236
Country : US
Telephone Number : 347-620-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2022
Last Update Date : 08/27/2025

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