Individual
DR. BRIAN DAVID FENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
933 MAMARONECK AVE, SUITE 105, MAMARONECK, NY 10543-1662
(914) 698-2182
(914) 381-2676
Mailing address
933 MAMARONECK AVE, SUITE 105, MAMARONECK, NY 10543-1662
(914) 698-2182
(914) 381-2676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004572-1
NY
Other
Enumeration date
04/11/2006
Last updated
12/09/2008
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