Monica E Fellenz in Irving - Physician Assistant

Monica E Fellenz - NPI 1043305246

Monica E Fellenz is a Physician Assistant in Irving, New York. Monica E Fellenz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Monica E Fellenz is 1043305246. The last update date is 2009-01-08.

Monica E Fellenz's current location address is 36 Thomas Indian School Dr, Irving, New York. You can contact this provider via phone number 7165325582 and fax number 7165322597. The mailing address for Monica E Fellenz is 36 Thomas Indian School Dr, Irving, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Monica E Fellenz
Address 36 Thomas Indian School Dr, Irving, New York
Phone Number 7165325582
Fax Number 7165322597
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1043305246
Provider Enumeration Date 2006-10-04
Last Updated Date 2009-01-08

Provider Mailing Address Detail

Address 36 Thomas Indian School Dr
City Irving
State New York (NY)
Post Code 140819300
Phone Number 7165325582
Fax Number 7165322597

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8548
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
528450001 NY WNYBCBS
9513195 NY INDEPENDENT HEALTH
60822000001 NY FIDELIS CARE NEW YORK

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FAQs about Monica E Fellenz

What is the Monica E Fellenz's unique identification number?

The Monica E Fellenz has been assigned the NPI (National Provider Identifier) Number 1043305246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Monica E Fellenz is geographically located?

The Monica E Fellenz is physically situated at the following location: 36 Thomas Indian School Dr, Irving, NY, 140819300.

What is the Monica E Fellenz's specialty and taxonomy code?

The Monica E Fellenz's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date was the 1043305246 assigned to Monica E Fellenz?

The Monica E Fellenz was issued its 1043305246 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Monica E Fellenz most recently updated or refreshed?

The details pertaining to the Monica E Fellenz, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-01-08.

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