Provider Demographics
NPI:1255593562
Name:JOSEPH F DEFEO PC
Entity type:Organization
Organization Name:JOSEPH F DEFEO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:DEFEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-569-9550
Mailing Address - Street 1:270 SEAMAN AVE
Mailing Address - Street 2:DOCTORS OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1210
Mailing Address - Country:US
Mailing Address - Phone:212-569-9550
Mailing Address - Fax:
Practice Address - Street 1:270 SEAMAN AVE
Practice Address - Street 2:DOCTORS OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1210
Practice Address - Country:US
Practice Address - Phone:212-569-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty