Provider Demographics
NPI:1952467318
Name:FENYVES, ANDRAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRAS
Middle Name:
Last Name:FENYVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2806
Mailing Address - Country:US
Mailing Address - Phone:718-802-1110
Mailing Address - Fax:718-802-1113
Practice Address - Street 1:37 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2025
Practice Address - Country:US
Practice Address - Phone:718-802-1110
Practice Address - Fax:718-802-1113
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01934298Medicaid
NYG89967Medicare UPIN
NY48C872Medicare ID - Type Unspecified