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General NPI Number Information
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NPI Number | 1841289931
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Entity Type | Individual
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Provider Name | FABIO VOLTERRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 2330 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10469-5930
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Country | US
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Telephone | 718-732-4000
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Fax | 718-881-3035
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Provider Business Mailing Address
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Address Line | 1500 ROUTE 112 BLDG 4
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-8054
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Country | US
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Telephone | 718-732-4000
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Fax | 718-881-3035
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 190793
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License Number State | NY
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