Provider Demographics
NPI:1356780860
Name:FABBRI, NICOLA
Entity type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:
Last Name:FABBRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVENUE SUITE #A342
Mailing Address - Street 2:MEMORIAL SLOAN KETTERING CANCER CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-639-5720
Mailing Address - Fax:212-639-7599
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:SUITE #A342
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5720
Practice Address - Fax:212-639-7599
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270585207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery