Provider Demographics
NPI:1043523764
Name:CURATIVE FAMILY CARE MEDICINE, P.C.
Entity Type:Organization
Organization Name:CURATIVE FAMILY CARE MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SABINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-424-2315
Mailing Address - Street 1:3080 21ST ST
Mailing Address - Street 2:2ND FL.
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3671
Mailing Address - Country:US
Mailing Address - Phone:516-443-2184
Mailing Address - Fax:
Practice Address - Street 1:3080 21ST ST
Practice Address - Street 2:2ND FL.
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3671
Practice Address - Country:US
Practice Address - Phone:516-443-2184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty