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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ERIC FETHKE, M.D.

Active Sole Proprietor

DR. ERIC FETHKE, M.D. is a Pediatric Cardiology healthcare provider located in MIDDLETOWN, New York. NPI 1285600080 is currently active in the NPPES registry. Verify at CMS.

Pediatric Cardiology · MIDDLETOWN, NY

Registration Details

NPI Number
1285600080
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2006 (20.511601998382 yrs)
Last Updated
Feb 7, 2013
License
195450 (NY)
Sole Proprietor
Yes

Practice Information

Address
212 CRYSTAL RUN RD
MIDDLETOWN, NY, 109414009
Browse NY providers · Browse ZIP 10941
Phone
8457037000
Fax
8457030160
Primary Specialty
Pediatric Cardiology
2080P0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.