Fodera, Vito
Fodera, Vito is an sole proprietor health care provider with primary practice located at 763 Larkfield Rd , Commack NY 11725-3131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Fodera, Vito can be contacted via phone (631) 489-5000.Contact Information
Primary practice address
763 Larkfield Rd
Commack NY 11725-3131
Phone: (631) 489-5000
Fax: (631) 858-1990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 60264556 | New York |
Profile Details
| NPI number | 1376818039 |
|---|---|
| LBN Legal business name | Fodera, Vito |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2012 |
| Last updated | Feb 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376818039 | NPPES |
| New York | MEDICAID | A400090538 |
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