Healthcare Provider Details

I. General information

NPI: 1457414468
Provider Name (Legal Business Name): JOSEPH F FEMIA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 02/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E CHESTNUT ST
ROME NY
13440-2832
US

IV. Provider business mailing address

110 E CHESTNUT ST
ROME NY
13440-2832
US

V. Phone/Fax

Practice location:
  • Phone: 315-339-1445
  • Fax:
Mailing address:
  • Phone: 315-339-1445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number178038
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH F FEMIA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 315-339-1445