Individual
MR. CHRISTOPHER FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
564 DURYEA AVE, UNIONDALE, NY 11553-2223
(516) 376-2053
Mailing address
564 DURYEA AVE, UNIONDALE, NY 11553-2223
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
321039
NY
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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