Individual
MS. ROSE REGINE FENELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
3 CROYDON CT, DIX HILLS, NY 11746-6143
(516) 280-0078
Mailing address
3 CROYDON CT, DIX HILLS, NY 11746-6143
(516) 280-0078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
904B
NY
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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