Individual
DR. FRANK C. PEDEVILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21 SPRINGSIDE AVE, POUGHKEEPSIE, NY 12603-1837
(845) 454-0244
(845) 454-0405
Mailing address
21 SPRINGSIDE AVE, POUGHKEEPSIE, NY 12603-1837
(845) 454-0244
(845) 454-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957406
—
NY
Enumeration date
10/02/2006
Last updated
03/26/2008
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