Individual
DR. ANDREW MICHAEL FADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 ASHFORD AVE, DOBBS FERRY, NY 10522-1924
(914) 693-6500
(914) 693-2800
Mailing address
128 ASHFORD AVE, DOBBS FERRY, NY 10522-1924
(914) 693-6500
(914) 693-2800
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1575161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RG0300X
TAXONOMY CODE
NY
Enumeration date
11/15/2006
Last updated
09/20/2012
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