MEDICARE: FABRIZIO REMOTTI M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	211969	NY
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A051559	CA

General Provider Information

NPI Number	:	1235104118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABRIZIO REMOTTI M.D.

Provider Business Mailing Address
First Line	:	11 BELLWOOD AVE
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-2301
Country	:	US
Telephone Number	:	914-674-8408
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 W 168TH ST
Second Line	:	COLUMBIA PRESBYTERIAN M.C., DEPT OF PATHOLOGY VC14-209
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-342-0419
Fax Number	:	212-305-2301

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	04/25/2016

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