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Individual

DR. BRIAN E FANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
469 7TH AVE STE 601, NEW YORK, NY 10018-7605
(646) 626-3033
(347) 287-6791
Mailing address
469 7TH AVE STE 601, NEW YORK, NY 10018-7605
(917) 960-4023
(212) 503-3555

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0060041
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02637290
NY
Enumeration date
09/06/2006
Last updated
07/23/2021
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