Individual
DR. JAY MICHAEL FIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 OLD GATESBURG RD, SUITE 300, STATE COLLEGE, PA 16803-2276
(814) 234-1002
(814) 234-6251
Mailing address
1700 OLD GATESBURG RD, SUITE 300, STATE COLLEGE, PA 16803-2276
(814) 234-1002
(814) 234-6251
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD439512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400021121
MEDICARE PTAN
NY
Enumeration date
12/16/2008
Last updated
12/01/2023
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