Individual
DR. JOHANNA THERESE FIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 MADISON AVE # KCC-1N, NEW YORK, NY 10029-6508
(212) 241-3400
Mailing address
1450 MADISON AVE # KCC-1N, NEW YORK, NY 10029-6508
(212) 241-3400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
244036
NY
2084V0102X
Vascular Neurology Physician
244036
NY
2085N0700X
Neuroradiology Physician
244036
NY
Other
Enumeration date
03/13/2007
Last updated
10/19/2022
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