Organization
JOEL BRUCE FIELDMAN MD P.C.
Active
Organization
JOEL BRUCE FIELDMAN MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETICIA COTTO (ADMINSTRATOR)
(718) 416-4389
Entity
Organization
Contact information
Practice address
40 TURF LN, ROSLYN HEIGHTS, NY 11577-2738
(718) 416-4389
(718) 416-3652
Mailing address
40 TURF LN, ROSLYN HEIGHTS, NY 11577-2738
(718) 416-4389
(718) 416-3652
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
193719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154T1
MEDICARE PIN OTHER
NY
01
—
A100078038
MEDICARE PTAN
NY
01
—
G100080710
MEDICARE PTAN
NY
Enumeration date
09/18/2007
Last updated
11/20/2013
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