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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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