Most Relevant Information
Provider Data
| NPI Number: | 1003341330 |
| Provider Name: | HAIM FEDIDA |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 059957 |
Most Important Dates
| Enumeration Date: | 04/24/2017 |
| Last Updated: | 08/30/2018 |
Provider Practice Location
2060 LEXINGTON AVE
NEW YORK
NY
10035
Practice Location Phone/Fax
| Phone: | 5185982373 |
| Fax: |
Provider Mailing Location
2060 LEXINGTON AVE
NEW YORK
NY
100351759
Provider Mailing Phone/Fax
| Phone: | 5185982373 |
| Fax: |