Individual
TALIA FENSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
14106 70TH AVE, FLUSHING, NY 11367-1928
(516) 477-1598
Mailing address
14106 70TH AVE, FLUSHING, NY 11367-1928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677038
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382682
NY
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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