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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1518968916 NPPES
New York MEDICAID 02161351

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