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Contact Information

JOHN M FEDER, MD
36 LINCOLN AVE
ROCKVILLE CENTRE, NY11570-5768
 Phone: 516-536-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M FEDER · (Male)

NPI Number 1558360081
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 02/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 177147
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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