MEDICARE: JOHN A. FERRO, M.D., P.C.

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
1	2084N0400X	Neurology Physician	179984	NY

General Provider Information

NPI Number	:	1164474987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN A. FERRO, M.D., P.C.

Provider Business Mailing Address
First Line	:	85 RONALD REAGAN BLVD
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-4105
Country	:	US
Telephone Number	:	845-986-8722
Fax Number	:	845-986-8838

Provider Business Practice Location Address
First Line	:	85 RONALD REAGAN BLVD
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-4105
Country	:	US
Telephone Number	:	845-986-8722
Fax Number	:	845-986-8838

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN ALFRED FERRO
Credential	:	M.D.
Telephone Number	:	845-325-3009

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2020

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