Individual
CHRISTINE H FENLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
(607) 763-5064
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
155386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00916358
—
NY
Enumeration date
09/12/2005
Last updated
11/18/2011
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