Healthcare Provider Details

I. General information

NPI: 1306987979
Provider Name (Legal Business Name): JOSEPH FERRETTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MONTAGUE STREET
BROOKLYN NY
11201
US

IV. Provider business mailing address

345 SCHERMERHORN STREET
BROOKLYN NY
11217
US

V. Phone/Fax

Practice location:
  • Phone: 718-422-8000
  • Fax: 718-422-8265
Mailing address:
  • Phone: 718-403-3547
  • Fax: 718-858-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number115092
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: