| Doctor Name: | MRS. STEPANIA FEDKIV |
| NPI Number: | 1184991309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2799 Harris Rd Broadview Heights, OH - 441472642 |
| Business Phone Number: | 4408380811 |
| Business Fax Number: | |
| Mailing Address: | 2799 Harris Rd, BROADVIEW HEIGHTS |
| State: | OH |
| Postal Code: | 441472642 |
| Phone Number: | 4408380811 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2011 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |