Tomasine Fodera
Surgery, Surgical Oncology in Staten Island, NY. Individual provider (NPI-1).
NPI number1003887134
StatusActive
Last updated in NPPESJul 14, 2007
Details
- NPI
- 1003887134
- Entity type
- Individual (NPI-1)
- Name
- Tomasine Fodera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Jul 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086X0206X | Surgery, Surgical Oncology | 209637-1 | NY | Yes |
Practice location
2235 Clove RdStaten Island, NY 10305
Phone 718-815-8100
Mailing address
2235 Clove RdStaten Island, NY 10305
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