Healthcare Provider Details

I. General information

NPI: 1609010768
Provider Name (Legal Business Name): ARIELLE OCHOA FENIG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CADMAN PLZ W
BROOKLYN NY
11201-2701
US

IV. Provider business mailing address

150 EAST 42ND STREET 10TH FLOOR
NEW YORK NY
10017
US

V. Phone/Fax

Practice location:
  • Phone: 929-210-6000
  • Fax: 929-210-6001
Mailing address:
  • Phone: 646-605-8119
  • Fax: 646-605-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number251352
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: