Individual
DR. JEANNE ELIZABETH FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 MARTENSE ST, #LA, BROOKLYN, NY 11226-3273
(718) 857-6459
Mailing address
47 RUTLAND RD, BROOKLYN, NY 11225-5312
(718) 857-6459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
096127
NY
Other
Enumeration date
01/30/2010
Last updated
01/30/2010
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