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NPI Code Detail

MEDICARE: FENYA FRENKEL

MEDICARE:   FENYA  FRENKEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner339999NY

General Provider Information

NPI Number : 1063897148
Entity Type Code : Individual
Provider Name (Legal Business Name) : FENYA FRENKEL
Provider Business Mailing Address
First Line : 2083 E 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 718-444-5105
Fax Number : 718-444-5106
Provider Business Practice Location Address
First Line : 2083 E 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 718-444-5105
Fax Number : 718-444-5106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2015
Last Update Date : 09/06/2019

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Directions to “ FENYA FRENKEL ” Practice Location

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