Organization
WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
Active
Organization
WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY E. FEDOR MD (PHYSICIAN)
(914) 337-2727
Entity
Organization
Contact information
Practice address
2150 CENTRAL PARK AVE, SUITE 205, YONKERS, NY 10710-1853
(914) 337-2727
Mailing address
2150 CENTRAL PARK AVE, SUITE 205, YONKERS, NY 10710-1853
(914) 337-2727
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
232091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135160
GHI
NY
01
—
182930P
CMO HIP
NY
01
—
2292741
CIGNA
NY
01
—
2478982
UNITED HEALTHCARE
NY
01
—
6N0511
EMPIRE BC BS
NY
01
—
OH3566
HEALTHNET
NY
01
—
P3501546
OXFORD
NY
Enumeration date
04/08/2007
Last updated
03/06/2017
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