Individual
MEGAN FENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM RD CDCES
Contact information
Practice address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4079
(631) 444-4686
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4686
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NY
Other
Enumeration date
05/13/2010
Last updated
12/18/2020
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