Individual
BONNIE FEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., CGC
Contact information
Practice address
11205 QUEENS BLVD, FOREST HILLS, NY 11375-8311
(718) 670-1322
Mailing address
11205 QUEENS BLVD, FOREST HILLS, NY 11375-8311
(718) 670-1322
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
207R00000X
Internal Medicine Physician
Primary
166017
NY
Other
Enumeration date
11/03/2016
Last updated
03/25/2024
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