Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE FODERO, MD
ActiveMR. JESSE FODERO, MD is a Sports Medicine (EM) healthcare provider located in NIAGARA FALLS, New York. NPI 1962935460 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · NIAGARA FALLS, NY
Registration Details
- NPI Number
- 1962935460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2017 (9.3798627624876 yrs)
- Last Updated
- Aug 24, 2021
- Licenses
-
304141 (NY)304141 (NY)304141 (NY)
Practice Information
- Address
-
6934 WILLIAMS RD STE 600NIAGARA FALLS, NY, 143043081Browse NY providers · Browse ZIP 14304
- Phone
- 7162043200
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (EM)
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.