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NPI Code Detail

MEDICARE: ANNIE FONFEDER

MEDICARE: ANNIE FONFEDER
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
1103K00000XBehavior Analyst004852NY

General Provider Information

NPI Number : 1396473963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE FONFEDER
Provider Business Mailing Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 03/30/2026

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Directions to “ ANNIE FONFEDER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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