Peter E. Fisk in Latham - Student In An Organized Health Care Education/training Program

Peter E. Fisk - NPI 1619001468

Peter E. Fisk is a Student In An Organized Health Care Education/training Program in Latham, New York. Peter E. Fisk practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Peter E. Fisk is 1619001468. The last update date is 2014-04-01.

Peter E. Fisk's current location address is 713 Troy Schenectady Rd, Latham, New York. You can contact this provider via phone number 5187833110 and fax number 5187836890. The mailing address for Peter E. Fisk is 713 Troy Schenectady Rd, Latham, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter E. Fisk
Address 713 Troy Schenectady Rd, Latham, New York
Phone Number 5187833110
Fax Number 5187836890
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1619001468
Provider Enumeration Date 2007-03-15
Last Updated Date 2014-04-01

Provider Mailing Address Detail

Address 713 Troy Schenectady Rd
City Latham
State New York (NY)
Post Code 121102490
Phone Number 5187833110
Fax Number 5187836890

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 060-0003317
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3028439 NY --
P00857183 NY RR MEDICARE

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FAQs about Peter E. Fisk

What is the unique identifier code issued to Peter E. Fisk by the Centers for Medicare & Medicaid Services?

The Peter E. Fisk has been assigned the NPI (National Provider Identifier) 1619001468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Peter E. Fisk?

The Peter E. Fisk is physically situated at 713 Troy Schenectady Rd, in the city of Latham, state of NY, with the postal code 121102490.

What is Peter E. Fisk's specialized field of practice, and what is the corresponding taxonomy classification code?

The Peter E. Fisk's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.

When did the Peter E. Fisk receive its 1619001468?

The Peter E. Fisk was issued its 1619001468 on 2007-03-15, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Peter E. Fisk most recently updated or revised?

The information pertaining to Peter E. Fisk, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-01.

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