KATHLEEN FEDELE
NPI 1629254800
Specialist in Lake View, NY
Active since January 17, 2008
About Kathleen Fedele NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN FEDELE (NPI 1629254800) is an individual specialist in Lake View, New York and active in the NPI registry since January 2008.
NPPES Registry Identity
NPI1629254800
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKATHLEEN FEDELE
Location Address6253 OLD LAKE SHORE RDLake View, NY 14085-9560
Mailing Address6253 Old Lake Shore RdLake View, NY 14085-9560 · (716) 627-4304
Phone(716) 627-4304
Sole ProprietorNo
Enumeration DateJanuary 17, 2008
✔ NPI 1629254800 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
6253 OLD LAKE SHORE RD, Lake View, NY 14085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629254800, enumerated as an "individual" on January 17, 2008.
The provider is located at 6253 OLD LAKE SHORE RD LAKE VIEW, NY 14085 and the phone number is (716) 627-4304.
Specialist with taxonomy code 174400000X.
