MEDICARE: EMILY ELIZABETH FEDERO HUNGRIA MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0805X	Geriatric Psychiatry Physician	MD18459	RI

General Provider Information

NPI Number	:	1184120073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH FEDERO HUNGRIA MD

Provider Business Mailing Address
First Line	:	15 LA SALLE SQ
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-1814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 STOKES ST
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02889-3425
Country	:	US
Telephone Number	:	401-793-4301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2018
Last Update Date	:	05/21/2026

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