Individual
MS. ERICA TINE-ROSE FEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
830 WASHINGTON ST, ER DEPARTMENT, WATERTOWN, NY 13601-4034
(315) 786-4813
(315) 786-4314
Mailing address
PO BOX 415695, BOSTON, MA 02241-5695
(866) 952-6774
(781) 276-6403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009893-1
NY
Other
Enumeration date
11/22/2005
Last updated
10/20/2015
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