Individual
MARIA FODERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 CLOVE RD, STATEN ISLAND, NY 10305
(718) 815-8100
Mailing address
2235 CLOVE RD, STATEN ISLAND, NY 10305
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
204537-1
NY
Other
Enumeration date
01/27/2006
Last updated
07/14/2007
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