Individual
ALAIN ALBERT FEDIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 PARK AVE, NEW YORK, NY 10028-0934
(917) 609-3912
Mailing address
229 E 79TH ST, #2A, NEW YORK, NY 10075-0866
(917) 609-3912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172083
NY
207UN0901X
Nuclear Cardiology Physician
172083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01129006
—
NY
Enumeration date
07/26/2006
Last updated
04/03/2015
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