JOSEPH ANTHONY FEDRICK

BRONX, NY
NPI1629078191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  199200)
Enumeration Date2005-07-27
Last Update Date2012-09-24
Business Address
Mr. JOSEPH ANTHONY FEDRICK
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-764-1661
Mailing Address
Mr. JOSEPH ANTHONY FEDRICK
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-764-1661