Individual
JOSEPH F DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 SEAMAN AVE, NEW YORK, NY 10034
(212) 569-9550
(212) 304-2776
Mailing address
1055 SAW MILL RIVER RD, ARDSLEY, NY 10502
(914) 693-6677
(914) 479-0629
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
128520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011785
GHI
NY
05
—
00386012
—
NY
Enumeration date
08/13/2006
Last updated
07/02/2008
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