FRANK ANTHONY FODERA

FAR ROCKAWAY, NY
NPI1831737972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  027139)
Enumeration Date2019-12-19
Last Update Date2021-09-03
Business Address
FRANK ANTHONY FODERA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 631-834-6015
Mailing Address
FRANK ANTHONY FODERA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 631-834-6015
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