Individual
MARY E FEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 CENTRAL PARK AVE, SUITE 205, YONKERS, NY 10710-1856
(914) 337-2727
Mailing address
2150 CENTRAL PARK AVE, SUITE 205, YONKERS, NY 10710-1856
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
232091
NY
207R00000X
Internal Medicine Physician
042259
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010042259CT01
ANTHEM BC/BS
CT
01
—
1169446
AETNA - HMO
CT
01
—
229741
CIGNA
CT
01
—
232091
CONNECTICARE
CT
01
—
2V7745
HEALTH NET
CT
01
—
357AZ1
EMPIRE BC/BS
CT
01
—
7702639
AETNA - PPO
CT
01
—
P3635302
OXFORD HEALTH PLAN
CT
Enumeration date
07/05/2006
Last updated
03/10/2023
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