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Contact Information

JESSE FODERO, MD
6934 WILLIAMS RD STE 600
NIAGARA FALLS, NY14304-3081
 Phone: 716-204-3200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JESSE FODERO · (Male)

NPI Number 1962935460
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2017
Last updated 08/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 304141
Hospital affiliation(s)
  • KALEIDA HEALTH - (Acute Care)
    726 EXCHANGE STREET, SUITE 522
    BUFFALO, NY 14210
  • NIAGARA FALLS MEMORIAL MEDICAL CENTER - (Acute Care)
    621 TENTH STREET
    NIAGARA FALLS, NY 14302
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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