Individual
DR. THOMAS JOHN FEDERICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 GREAT OAKS BLVD, ALBANY, NY 12203-5969
(518) 218-1234
(518) 218-1237
Mailing address
13 SUNSET DR, LATHAM, NY 12110-2103
(518) 218-1234
(518) 218-1237
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
221767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053101
—
NY
05
—
1620483
—
LA
05
—
293373
—
SC
Enumeration date
07/01/2005
Last updated
11/30/2016
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