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Dr. Vito Fodera, MD
Neuroradiology Physician in Commack, New York
NPI 1376818039

Vito Fodera is a Neuroradiology Physician based in Commack, NY and is specialized in Neuroradiology. Vito Fodera practices in Commack, NY and has the professional credentials of MD. The NPI Number for Vito Fodera is 1376818039 and holds a License No. 60264556 (New York).

The current practice location address for Vito Fodera is 763 Larkfield Rd, Commack, NY and can be reached out via phone at 631-489-5000 and via fax at 631-858-1990.

Location: 763 Larkfield Rd, Commack, NY, 11725-3131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376818039
Provider Name
Vito Fodera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
763 Larkfield Rd, Commack, NY, 11725-3131
Phone Number
631-489-5000
Fax Number
631-858-1990
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400090538 05 NY
institution
Provider Business Practice Location Address Details
Address
763 Larkfield Rd
City
Commack
State
New York
Zip
11725-3131
Phone Number
631-489-5000
Fax Number
631-858-1990
person
Provider Business Mailing Address Details
Address
763 Larkfield Rd
City
Commack
State
New York
Zip
11725-3131
Phone Number
631-489-5000
Fax Number
631-858-1990
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
60264556 (New York)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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