Individual
DR. JANE H FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
348 HUNGRY HARBOR RD, VALLEY STREAM, NY 11581-2805
(516) 791-9677
(516) 791-9677
Mailing address
348 HUNGRY HARBOR RD, VALLEY STREAM, NY 11581-2805
(516) 791-9677
(516) 791-9677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
189980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613258
—
NY
Enumeration date
01/22/2006
Last updated
05/09/2016
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