Individual
DR. FILEMON REODIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 MCBAINE AVE, STATEN ISLAND, NY 10309-4270
(718) 984-2214
Mailing address
270 MCBAINE AVE, STATEN ISLAND, NY 10309-4270
(718) 984-2214
(718) 984-1091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00917515
—
NY
Enumeration date
07/16/2006
Last updated
07/08/2007
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