National Provider Identifier
Mark Donald Fisher, MD
Mark Donald Fisher, MD is listed in the NPPES registry with a primary specialty of Addiction Medicine (Internal Medicine) Physician in Buffalo, NY and a listed phone number of (716) 830-1350.
Profile Overview
- NPI
- 1447229562
- Provider Type
- Individual
- Primary Specialty
- Addiction Medicine (Internal Medicine) Physician
- Enumeration Date
- March 14, 2006
- Last Updated
- November 21, 2023
Practice Location
- 1207 Delaware Ave Ste 490
- Buffalo, NY 14209-1458
Phone: (716) 830-1350
Mailing Address
- 3090 Cloverbank RD
- Hamburg, NY 14075-3424
Specialties
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)
Full Record
- NPI
- 1447229562
- Entity Type
- Individual
- Last Name
- Fisher
- First Name
- Mark
- Middle Name
- Donald
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 3090 Cloverbank RD
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-3424
- Mailing Country
- US
- Mailing Phone
- (716) 830-1350
- Mailing Fax
- (716) 205-7525
- Practice Street Address
- 1207 Delaware Ave Ste 490
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1458
- Practice Country
- US
- Practice Phone
- (716) 830-1350
- Practice Fax
- (716) 205-7525
- Enumeration Date
- March 14, 2006
- Last Updated
- November 21, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)
- Other Identifiers
- 02097354 (NY)