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NPI Code Detail

MEDICARE: DR. FIONA GERALDINE CONNOLLY DPM

MEDICARE: DR. FIONA GERALDINE CONNOLLY DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristN005334NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144223314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FIONA GERALDINE CONNOLLY DPM
Provider Business Mailing Address
First Line : 173 CARMAN AVE
Second Line :
City : EAST ROCKAWAY
State : NY
Zip : 11518-1302
Country : US
Telephone Number : 516-381-4072
Fax Number :
Provider Business Practice Location Address
First Line : 28 FRONT ST BOX J
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number : 845-677-3363
Fax Number : 845-677-3553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/25/2022

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