Individual
FIONA FENDER- BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 E 228TH ST, BRONX, NY 10466-4423
(646) 702-7495
Mailing address
856 E 228TH ST, BRONX, NY 10466-4423
(646) 702-7495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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