National Provider Identifier
Kathleen Fedele
Kathleen Fedele is listed in the NPPES registry with a primary specialty of Specialist in Lake View, NY and a listed phone number of (716) 627-4304.
Profile Overview
- NPI
- 1629254800
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 17, 2008
- Last Updated
- January 17, 2008
Practice Location
- 6253 Old Lake Shore RD
- Lake View, NY 14085-9560
Phone: (716) 627-4304
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1629254800
- Entity Type
- Individual
- Last Name
- Fedele
- First Name
- Kathleen
- Mailing Street Address
- 6253 Old Lake Shore RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9560
- Mailing Country
- US
- Mailing Phone
- (716) 627-4304
- Practice Street Address
- 6253 Old Lake Shore RD
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9560
- Practice Country
- US
- Practice Phone
- (716) 627-4304
- Enumeration Date
- January 17, 2008
- Last Updated
- January 17, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)