Themistocle, Fenar
Themistocle, Fenar is an sole proprietor health care provider with primary practice located at 1973 University Ave , Bronx NY 10453-4404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Themistocle, Fenar can be contacted via phone (718) 708-8000.Contact Information
Primary practice address
1973 University Ave
Bronx NY 10453-4404
Phone: (718) 708-8000
Fax: (718) 708-8001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 217744 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 217744 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 217744 | New York |
Profile Details
NPI number | 1518968916 |
---|---|
LBN Legal business name | Themistocle, Fenar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 9th, 2005 |
Last updated | Feb 2nd, 2015 - about 9 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 | 1518968916 | NPPES |
New York | MEDICAID | 02161351 |
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