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Individual

DOUGLAS DAVID FIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
1835 FAIRPORT NINE MILE POINT RD, STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 388-9079
Mailing address
1835 FAIRPORT NINE MILE POINT RD, STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 334-8732

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
333353
NY
363LF0000X
Family Nurse Practitioner
Primary
F333353
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03452513
NY
Enumeration date
03/02/2007
Last updated
06/29/2023
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