Provider Demographics
NPI:1457414468
Name:JOSEPH F FEMIA MD PC
Entity Type:Organization
Organization Name:JOSEPH F FEMIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:FEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-339-1445
Mailing Address - Street 1:110 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2832
Mailing Address - Country:US
Mailing Address - Phone:315-339-1445
Mailing Address - Fax:
Practice Address - Street 1:110 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2832
Practice Address - Country:US
Practice Address - Phone:315-339-1445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178038207W00000X
332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4453570001Medicare NSC
55051AMedicare PIN