Organization
NEW YORK SURGICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FODERA (PRESIDENT)
(718) 815-8100
Entity
Organization
Contact information
Practice address
2235 CLOVE RD, STATEN ISLAND, NY 10305
(718) 815-8100
Mailing address
2235 CLOVE RD, STATEN ISLAND, NY 10305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
02/06/2006
Last updated
07/14/2007
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