PETER ANTHONY FEDULLO

NEW YORK, NY
NPI1275833931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  014433)
Enumeration Date2010-10-28
Last Update Date2010-10-28
Business Address
Mr. PETER ANTHONY FEDULLO PA
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2500
Mailing Address
Mr. PETER ANTHONY FEDULLO PA
11 4TH PL APT 3L
BROOKLYN, NY 11231-3356
Phone number: 585-727-4387