Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ira S Tisch, MD

Individual provider Nephrology Physician · NPI 1629022967

Dr. Ira S Tisch, MD is a Nephrology Physician in New Hartford, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 French Rd Ste 103
New Hartford, NY 13413-1044
Phone: (315) 735-3541
Fax: (315) 724-3255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 1576065 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1576065 (NY)

Record details

NPI number1629022967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESJuly 30, 2009

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