Fien, Douglas David

Fien, Douglas David is an individual health care provider with primary practice located at 1835 Fairport Nine Mile Point Rd Ste 100, Penfield NY 14526-1903. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fien, Douglas David can be contacted via phone (585) 758-0777.

Contact Information

Primary practice address
1835 Fairport Nine Mile Point Rd Ste 100 Penfield NY 14526-1903
Phone: (585) 758-0777
Fax: (585) 388-9079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333353 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333353 New York

Profile Details

NPI number 1700915386
LBN Legal business name Fien, Douglas David
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jun 29th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700915386 NPPES
New York MEDICAID 03452513

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