Fennoy, Ilene
Fennoy, Ilene is an individual health care provider with primary practice located at 3959 Broadway Chn 106, New York NY 10032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fennoy, Ilene can be contacted via phone (212) 305-6559.Contact Information
Primary practice address
3959 Broadway Chn 106
New York NY 10032
Phone: (212) 305-6559
Fax: (212) 305-4778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 122361 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 122361 | New York |
Profile Details
| NPI number | 1770575862 |
|---|---|
| LBN Legal business name | Fennoy, Ilene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770575862 | NPPES |
| New York | MEDICAID | 01126769 |
Popular Providers
-
Tunnell, Gilbert B
222 W 14Th St Apt 10C, New York NY 10011-7209 -
Koegel, Henry Michael
412 6Th Ave Ste 612, New York NY 10011-8409 -
Herzog, Richard J
535 E 70Th St Division Of Mri, New York NY 10021-4872 -
Spitzer, Jaclyn B
180 Fort Washington Ave 7Th Floor, New York NY 10032-3722 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100 -
Antonoff, Lisa R
17 Park Ave , New York NY 10016-4324 -
Hassen, Waleed A
5 E 98Th St Fl 6, New York NY 10029-6501 -
Kirton, Carl Anthony
1 Gustave L Levy Pl , New York NY 10029-6500