Carrie J Fidurko

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

203 Laurens St
Olean, NY 14760-2511

Phone

(716) 373-8080

Fax

(716) 373-8150

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982807376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRESCENT ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LAURENS ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602511",
            "telephone_number": "716-373-8080",
            "fax_number": "716-373-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDURKO",
        "first_name": "CARRIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Farnsworth, CRNA
• Aimee Lynne Faulkner, OTA
• Mary K Fay, RD, CDE
• Sue Ann Feldbauer
• Paula Ferri, RN
• Marlana Lynn Finch, SLP
• Tabitha M Fisher, RN
• Maureen Flynn-Bretzin
• Focus Physical Therapy of Olean PC
• Hannah Marie Forrest, SLP

• All providers in Olean, NY
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.