Martin Fisher

MD | Pediatric Adolescent Medicine | Male

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Complete Profile:

Martin Fisher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Martin Fisher
Credential :	MD
Gender :	Male

Business Address:

Martin Fisher address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Lijmc Dept Of Ped Div. Of Adoles Med, 410 Lakeville Road New Hyde Park, NY, 11042 United States
Phone Number :	516-465-5459

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1174683296
NPI Entity Type :	Individual
First Enrolment Date :	11 Dec, 2006
Last Updated On :	08 Jul, 2007

Medicare Participation:

Martin Fisher participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4587689864
Medicare Enrollment ID :	I20051006000480
Primary Specialty :	Pediatric Medicine
Medical School :	Albert Einstein College Of Medicine Of Yeshiva University
Graduation Year :	1975
Accepts Medicare?	Yes. Martin Fisher accepts medicare insurance.

Group Practice Association:

Martin Fisher is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Martin Fisher is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
North Shore - Lij Medical Pc	3375701568	4824	300 Community Dr Manhasset, NY - 110303816	Yes
North Shore - Lij Medical Pc	3375701568	4824	300 Community Dr Ll Manhasset, NY - 110303816 Ph: 5165622229	Yes
North Shore - Lij Medical Pc	3375701568	4824	330 Community Dr Manhasset, NY - 110303816 Ph: 5167082550	Yes
North Shore - Lij Medical Pc	3375701568	4824	350 Community Dr Manhasset, NY - 110303816 Ph: 5165623845	Yes
North Shore - Lij Medical Pc	3375701568	4824	27005 76th Ave New Hyde Park, NY - 110401402	Yes
North Shore - Lij Medical Pc	3375701568	4824	27005 76th Ave Gf New Hyde Park, NY - 110401402 Ph: 7184707501	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martin Fisher are as mentioned. Primary taxonomy code for Martin Fisher, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	128181	NY

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Lijmc Dept Of Ped Div. Of Adoles Med, Lijmc Dept Of Ped Div. Of Adoles Med New Hyde Park, NY, 11042 United States
Phone Number :	516-465-5459

Business Location:

Patients can refer following map for directions to Martin Fisher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.