Individual
DR. FRED S. FENSTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9605 HORACE HARDING EXPY, CORONA, NY 11368-4100
(718) 595-8987
Mailing address
8554 AVON ST, JAMAICA, NY 11432-2329
(718) 739-7916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108970
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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