DR. GARY MICHAEL FISHER (NPI# 1053350264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053350264 |
| Entity Type | Individual |
| Full Name | DR. GARY MICHAEL FISHER |
| Credential | DMD |
| Practice Address |
68 Travis Ave Staten Island NY 10314-6231 |
| Practice Telephone | 7184940421 |
| Practice Fax Number | 7184940421 |
| Mailing Telephone | 7184940421 |
| Mailing Fax Number | 7184940421 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
031948 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715652 | Gary Michael Fisher Sr. | Chiropractor | 807 12th St, Tell City, IN 47586 | 2006-12-12 |
| 1902993694 | Gary L Fisher | Dentist | 320 Ne 5th St, Gresham, OR 97030 | 2006-10-06 |
| 1801881875 | Gary A Fisher | Radiology | 1 Norwegian Plz, Pottsville, PA 17901-4400 | 2005-09-15 |
| 1881688513 | Gary Wallace Fisher | Dentist | 1203 E 33rd St, Ste 100, Tulsa, OK 74105-2040 | 2005-09-08 |
| 1225485261 | Gary S Fisher | Psychologist | 11340 W Olympic Blvd, Suite 207, Los Angeles, CA 90064-1608 | 2016-05-19 |
| 1295171346 | Gary Fisher | Counselor | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-05-16 |
| 1841510047 | Gary David Fisher | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2010-06-10 |
| 1760598585 | Gary H Fisher | Dentist | 875 E Canal Dr, Suite 8, Turlock, CA 95380 | 2006-08-22 |
| 1316906506 | Gary L Fisher | Chiropractor | 2014 N Wayne St, Tri State Chiropractic Clinic PC, Angola, IN 46703-9102 | 2006-03-17 |
| 1144296757 | Gary P. Fisher | Internal Medicine | 5530 Wisconsin Ave, Suite 730, Chevy Chase, MD 20815-4404 | 2006-02-23 |
| Street Address |
68 TRAVIS AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754060 | Citibrites Dental Hylan LLC | Dentist | 4076 Hylan Blvd, Staten Island, NY 10308-3337 | 2020-06-08 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1811488000 | Maysa Aziz | Dentist | 386 Woolley Ave, Staten Island, NY 10314-2154 | 2018-05-23 |
| 1124554332 | Citibrites Surgical LLC | Dentist | 131 Arnold St Fl 2, Staten Island, NY 10301-2236 | 2017-05-08 |
| 1760917918 | Citibrites Dental LLC | Dentist | 131 Arnold St, Staten Island, NY 10301-2236 | 2017-04-25 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1780067397 | David Louis Greco | Dentist | 155 Bay St, Staten Island, NY 10301-2504 | 2015-06-30 |
| 1043691306 | Christen Jade Carute | Dentist | 255 Mason Ave, Staten Island, NY 10305-3416 | 2015-06-12 |
| 1538441993 | Terry Bruce Mopper | Dentist | 322 Grasmere Dr, Staten Island, NY 10305-2848 | 2011-09-12 |
| 1003100124 | Village Green Dental PC | Dentist | 337 Hampton Grn, Staten Island, NY 10312-1722 | 2011-06-06 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on DR. GARY MICHAEL FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.