Provider Demographics
NPI:1346591450
Name:FLEURANT, FABIEN WESNER (MD)
Entity Type:Individual
Prefix:MR
First Name:FABIEN WESNER
Middle Name:
Last Name:FLEURANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:F. WESNER
Other - Middle Name:
Other - Last Name:FLEURANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:103 GAIL DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2118
Mailing Address - Country:US
Mailing Address - Phone:914-235-0623
Mailing Address - Fax:914-235-0623
Practice Address - Street 1:103 GAIL DRIVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2118
Practice Address - Country:US
Practice Address - Phone:914-235-0623
Practice Address - Fax:914-235-0623
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104508208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
91577Medicare UPIN