Individual
FEDNER GERMAIN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 CONNECTICUT AVE, FREEPORT, NY 11520-2010
(516) 698-2673
Mailing address
1767 VETERANS HWY STE 22, ISLANDIA, NY 11749-1536
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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