Faubert, Fenelon Pierre

Faubert, Fenelon Pierre is an individual health care provider with primary practice located at 1 Brookdale Plz Room 169, Brooklyn NY 11212-3139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Faubert, Fenelon Pierre can be contacted via phone (718) 240-5615.

Contact Information

Primary practice address
1 Brookdale Plz Room 169 Brooklyn NY 11212-3139
Phone: (718) 240-5615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 120537 New York

Profile Details

NPI number 1225012685
LBN Legal business name Faubert, Fenelon Pierre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 11th, 2013 - about 12 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 1225012685 NPPES
New York MEDICAID 00433298
New York Other 0833296004
New York Other 0833296005
New York Other 10986
New York Other KS438
New York Other 41A601
New York Other 120537
New York Other 13-65326
New York Other 2503983

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