MRS. DESIREE FEDRICH (NPI# 1275904922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275904922 |
| Entity Type | Individual |
| Full Name | MRS. DESIREE FEDRICH |
| Credential | NP |
| Practice Address |
Suny Stony Brook Hospital 101 Nichols Road Stony Brook NY 11794-0001 |
| Mailing Address |
Stony Brook Cancer Ctr 9445 Suny 9460 Stony Brook NY 11794-9460 |
| Practice Telephone | 6316380693 |
| Practice Fax Number | 6316380660 |
| Mailing Telephone | 6316380693 |
| Mailing Fax Number | 6316380660 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306194-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SUNY STONY BROOK HOSPITAL 101 NICHOLS ROAD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710364005 | Astha Muttreja | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Department of Medicine Hsc Level 16, Stony Brook, NY 11794-0001 | 2015-05-06 |
| 1033670898 | Christopher Shin | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Stony Brook, NY 11794-0001 | 2019-03-26 |
| 1851823314 | David Mason Adler | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Dept. of Medicine, Hsc Level 16, Stony Brook, NY 11794-0001 | 2017-04-03 |
| 1942732995 | Rajvi Mehta | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Dept of Medicine, Hsc Level 16, Stony Brook, NY 11794-0001 | 2017-03-29 |
| 1609308840 | Samuel Kim | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Dept of Medicine Hsc Level 16, Stony Brook, NY 11794 | 2017-03-28 |
| 1013448638 | Qudsia Hussain | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Dept. of Medicine, Hsc Level 16, Stony Brook, NY 11794-0001 | 2017-03-24 |
| 1679936306 | Gregg Cantor | Student in an Organized Health Care Education/Training Program | Suny Stony Brook Hospital, Dept. of Medicine, Hsc Level 16, Stony Brook, NY 11794-0001 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764006 | Jeanine Michelle Carnival | Nurse Practitioner | 101 Nicholls Road Stony Brook Hospita, Stony Brook, NY 11794-0001 | 2019-08-07 |
| 1285104588 | Jacob Parathodathil Joseph | Nurse Practitioner | Stony Brook Medical Center Health Science Center T 16, Stony Brook, NY 11794-0001 | 2018-11-29 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1467960294 | Christian Routh | Nurse Practitioner | Vascular Surgery Hsc T19-090, Stony Brook, NY 11794-8191 | 2018-01-15 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1144745258 | Danielle J Kelly | Nurse Practitioner | Stony Brook Medicine 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2017-08-09 |
| 1205289592 | Stefani Lynn Pagliuca | Nurse Practitioner | Department of Medicine Hsc T16, Rm020, Stony Brook, NY 11794-8403 | 2016-07-21 |
| 1477975845 | Michele L Degraw | Nurse Practitioner | Hsc T15-040, Stony Brook, NY 11794-4413 | 2014-01-20 |
| 1245503804 | Antonieta Ababa Rosenberg | Nurse Practitioner | 13n Neurology Department Rm 023, Stony Brook University Hospital, 101 Nichols Rd, Stony Brook, NY 11794-0001 | 2012-02-13 |
| 1649555889 | Kerin Culver Beedenbender | Nurse Practitioner | 19-20 Health Sciences Ctr, Stony Brook, NY 11794-0001 | 2011-10-19 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on MRS. DESIREE FEDRICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.