Provider Demographics
NPI:1750715959
Name:FABRE, ALANNA
Entity type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:
Last Name:FABRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 81ST ST
Mailing Address - Street 2:APT.4B
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-5012
Mailing Address - Country:US
Mailing Address - Phone:347-468-7444
Mailing Address - Fax:
Practice Address - Street 1:3521 81ST ST
Practice Address - Street 2:APT.4B
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5012
Practice Address - Country:US
Practice Address - Phone:347-468-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-25
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist