Kevin Fischer, RN
Registered Nurse in Brentwood, NY. Individual provider (NPI-1).
NPI number1164068946
StatusActive
Last updated in NPPESNov 27, 2019
Details
- NPI
- 1164068946
- Entity type
- Individual (NPI-1)
- Name
- Kevin Fischer
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2019
- Last updated
- Nov 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 775616-01 | NY | Yes |
Practice location
998 Crooked Hill RdBrentwood, NY 11717-1019
Phone 631-761-3500
Mailing address
219 Blue Point RdOakdale, NY 11769-2214
Phone 213-905-2214
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