Individual
CARL FAHRENKRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 BALDWIN PATH, DEER PARK, NY 11729-1407
(631) 793-4690
Mailing address
213 BALDWIN PATH, DEER PARK, NY 11729-1407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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