Provider Demographics
NPI:1821395955
Name:FERRETTI, JAMES CHRISTIAN (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRISTIAN
Last Name:FERRETTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E. 14TH STREET
Mailing Address - Street 2:ASSOCIATED RADIOL. OF THE FINGER LAKES. P.C.
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903
Mailing Address - Country:US
Mailing Address - Phone:732-433-1087
Mailing Address - Fax:
Practice Address - Street 1:100 E 14TH ST
Practice Address - Street 2:ASSOCIATED RADIOL. OF THE FINGER LAKES. P.C.
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903-1318
Practice Address - Country:US
Practice Address - Phone:732-433-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01160187922085R0202X
MAMA 2489012085R0202X
NY264544-12085R0202X
PAOS0161682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology