MEDICARE: MRS. DINA MARGARET FISHER NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F402566	NY
2	163W00000X	Registered Nurse	407141-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184950107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DINA MARGARET FISHER NP

Provider Business Mailing Address
First Line	:	111 EDEN ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14220-2667
Country	:	US
Telephone Number	:	716-931-2995
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 N FOREST RD STE 35B
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1296
Country	:	US
Telephone Number	:	716-626-9016
Fax Number	:	716-626-4271

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

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	02/21/2026

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