Provider Demographics
NPI:1366511883
Name:VERO, FEDELE E (DDS)
Entity type:Individual
Prefix:DR
First Name:FEDELE
Middle Name:E
Last Name:VERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-4738
Mailing Address - Country:US
Mailing Address - Phone:914-476-0100
Mailing Address - Fax:914-476-6322
Practice Address - Street 1:626 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4738
Practice Address - Country:US
Practice Address - Phone:914-476-0100
Practice Address - Fax:914-476-6322
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027800-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice