Individual
FABERNIA ELIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
3101 AVENUE I APT 5J, BROOKLYN, NY 11210-3853
(347) 634-3989
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
788753
NY
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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