Serge Fenelon
Physical Medicine & Rehabilitation in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124459722
StatusActive
Last updated in NPPESDec 6, 2013
Details
- NPI
- 1124459722
- Entity type
- Individual (NPI-1)
- Name
- Serge Fenelon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2013
- Last updated
- Dec 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 124667 | NY | Yes |
| 208000000X | Pediatrics | 124667 | NY |
Practice location
527 E 24th StBrooklyn, NY 11210-1129
Phone 718-434-0825
Mailing address
527 E 24th StBrooklyn, NY 11210-1129
Phone 718-434-0825
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