Individual
DR. DAVID FEDORONKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, TRANSPLANT - PH 14, NEW YORK, NY 10032-3720
(212) 305-4146
(212) 305-4724
Mailing address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02281794
—
NY
Enumeration date
07/01/2006
Last updated
04/30/2018
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