Ilene Fennoy
MD | Pediatrics | Female
Ilene Fennoy, MD is a New York, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ilene Fennoy is
3959 Broadway, Chn 106, New York, New York - 10032. She can be contacted on phone at
212-305-6559 and fax number 212-305-4778.
Ilene Fennoy is a sole proprietor of her business.
NPI number (Unique professional ID) for Ilene Fennoy is
1770575862 which was assigned by NPPES on 16 Aug, 2005 and it was last updated on 08 Jul, 2007.
Ilene Fennoy is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ilene Fennoy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ilene Fennoy |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Ilene Fennoy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3959 Broadway, Chn 106
New York, NY, 10032
United States |
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| Phone Number : | 212-305-6559 |
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| Fax Number : | 212-305-4778 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770575862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ilene Fennoy are as mentioned. Primary taxonomy code for Ilene Fennoy, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 122361 | NY |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 122361 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Ilene Fennoy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01126769 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 630 W 168th St, Ph5e 522
New York, NY, 10032
United States |
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| Phone Number : | 212-305-6559 |
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| Fax Number : | 212-305-4778 |
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Business Location:
Patients can refer following map for directions to
Ilene Fennoy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.