=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346487253
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARION FISCHER LENIHAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2009
-----------------------------------------------------
Last Update Date | 01/14/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 374 SARLES ST
-----------------------------------------------------
City | MOUNT KISCO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10549-4740
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-666-2025
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 374 SARLES ST.
-----------------------------------------------------
City | BEDFORD CORNERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LX0001X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
-----------------------------------------------------
License Number | F-000651
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------