Healthcare Provider Details

I. General information

NPI: 1346487253
Provider Name (Legal Business Name): MARION FISCHER LENIHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 SARLES ST
MOUNT KISCO NY
10549-4740
US

IV. Provider business mailing address

374 SARLES ST.
BEDFORD CORNERS NY
10549
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-2025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberF-000651
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: