Individual
DR. SAMUEL FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 987-3100
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256844
—
NY
Enumeration date
06/27/2005
Last updated
08/20/2025
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