Individual provider · Type 1 NPI

Kathleen Fedele

Specialist · Lake View, NY

NPI number 1629254800 Active

Practice location

6253 Old Lake Shore Rd
Lake View, NY 14085-9560

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629254800

Kathleen Fedele's National Provider Identifier is 1629254800, issued on Jan 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake View, NY. The record was last updated on Jan 17, 2008.