Individual
SERGE FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 E 24TH ST, BROOKLYN, NY 11210-1129
(718) 434-0825
Mailing address
527 E 24TH ST, BROOKLYN, NY 11210-1129
(718) 434-0825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
124667
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
124667
NY
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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