Organization
ALAIN A. FEDIDA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAIN A FEDIDA M.D. (OWNER / CFO)
(877) 895-0876
Entity
Organization
Contact information
Practice address
240 E 68TH ST, NEW YORK, NY 10065-6001
(212) 737-5599
(212) 737-3624
Mailing address
229 E 79TH ST # 2A, NEW YORK, NY 10075-0866
(877) 895-0876
(631) 206-9193
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172083
NY
207UN0901X
Nuclear Cardiology Physician
172083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01129006
—
NY
01
—
93H793
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
12/19/2011
Last updated
12/19/2011
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