Individual
DR. PAOLO FEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 DURKEE ST STE 125, PLATTSBURGH, NY 12901-2998
(518) 310-3890
(518) 536-9066
Mailing address
14 DURKEE ST, SUITE 125, PLATTSBURGH, NY 12901-2989
(518) 310-3890
(518) 536-9066
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
230138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02758189
—
NY
01
—
1679950430
TYPE II NPI
NY
Enumeration date
06/01/2006
Last updated
08/30/2024
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