Individual provider · Type 1 NPI
Desiree Fedrich, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1275904922
Active
Practice location
Suny Stony Brook Hospital, 101 Nichols Road
Stony Brook, NY 11794-0001
Fax (631) 638-0660
Mailing address
Stony Brook Cancer Ctr, 9445 Suny 9460
Stony Brook, NY 11794-9460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306194-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275904922
Desiree Fedrich, NP's National Provider Identifier is 1275904922, issued on Oct 7, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 7, 2015.