Provider Demographics
NPI:1770666133
Name:FIEDLER, HOWARD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:FIEDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SUTTON PL
Mailing Address - Street 2:APT. PH A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2464
Mailing Address - Country:US
Mailing Address - Phone:212-223-3329
Mailing Address - Fax:
Practice Address - Street 1:35 SUTTON PL
Practice Address - Street 2:APT. PH A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2464
Practice Address - Country:US
Practice Address - Phone:212-223-3329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217238207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY217238OtherPHYSICIAN REGISTRATION
NY001267053Medicaid
NY217238OtherPHYSICIAN REGISTRATION
NY001267053Medicaid