National Provider Identifier
Phoebe Grace Federow
Phoebe Grace Federow is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1578309944
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- July 05, 2024
- Last Updated
- July 05, 2024
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 96 Norwood Ave Apt 3
- Buffalo, NY 14222-2141
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1578309944
- Entity Type
- Individual
- Last Name
- Federow
- First Name
- Phoebe
- Middle Name
- Grace
- Provider Other Last Name
- Molano
- Provider Other First Name
- Phoebe
- Provider Other Middle Name
- Grace
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 96 Norwood Ave Apt 3
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-2141
- Mailing Country
- US
- Mailing Phone
- (631) 603-4074
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- July 05, 2024
- Last Updated
- July 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)