Individual
DAVID L. FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MANCHESTER RD, SUITE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
(845) 452-1752
Mailing address
301 MANCHESTER RD, SUITE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
(845) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00898499
—
NY
Enumeration date
03/30/2006
Last updated
07/13/2022
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