Organization
JOHN FIORDALISI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FIORDALISI MD (ANESTHESIOLOGY)
(646) 406-5404
Entity
Organization
Contact information
Practice address
166 E 88TH ST, NEW YORK, NY 10128-2255
(646) 406-5404
Mailing address
35 HAMPTON BAYS DR, HAMPTON BAYS, NY 11946-3007
(646) 406-5404
(718) 320-7225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299T01
BC/BS
—
Enumeration date
03/11/2008
Last updated
04/01/2008
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