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1275833931
PETER ANTHONY FEDULLO
NEW YORK, NY
NPI
1275833931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 014433)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Mr. PETER ANTHONY FEDULLO PA
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2500
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Mailing Address
Mr. PETER ANTHONY FEDULLO PA
11 4TH PL APT 3L
BROOKLYN, NY 11231-3356
Phone number: 585-727-4387
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