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NPI Code Detail

MEDICARE: MRS. IRINA FABRE N.P.

MEDICARE: MRS. IRINA FABRE N.P.
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
1363LA2200XAdult Health Nurse PractitionerSP014603PA
2363LA2200XAdult Health Nurse Practitioner306658NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568898872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. IRINA FABRE N.P.
Provider Business Mailing Address
First Line : 165 BROADWAY FL 23
Second Line :
City : NEW YORK
State : NY
Zip : 10006-1452
Country : US
Telephone Number : 212-677-9999
Fax Number :
Provider Business Practice Location Address
First Line : 165 BROADWAY FL 23
Second Line :
City : NEW YORK
State : NY
Zip : 10006-1452
Country : US
Telephone Number : 215-746-3535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2013
Last Update Date : 01/27/2026

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