Organization
ERIC FANAEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC FANAEE MD (DIRECT OWNER)
(631) 422-5371
Entity
Organization
Contact information
Practice address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
(631) 893-8012
Mailing address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
(631) 893-8012
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
01/26/2022
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