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Contact Information

MARIA V FEDOSEEVA, MD
100 PORT WASHINGTON BLVD
ROSLYN, NY11576-1347
 Phone: 516-562-6385
 Fax: 516-562-6300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIA V FEDOSEEVA · (Female)

NPI # 1043599947
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2011
Last updated 12/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 273328
  • NY Medicaid 03442537
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
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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