SearchNew York163WI0500X

Dawn Fiedtkou

NPI 1881514651 · on the registry since 2026 · sole proprietor

Practice

Address
11020 196th St
Saint Albans, NY 11412
Phone
(718) 704-9268

Registry record

Primary taxonomy
163WI0500X
163WI0500X
Also registered as
163WW0000X
163WX1500X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York