Provider Demographics
NPI:1780324111
Name:FAUR, IOANA ALINA (LAC)
Entity type:Individual
Prefix:
First Name:IOANA
Middle Name:ALINA
Last Name:FAUR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6485
Mailing Address - Country:US
Mailing Address - Phone:646-573-8638
Mailing Address - Fax:
Practice Address - Street 1:43 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2905
Practice Address - Country:US
Practice Address - Phone:646-573-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist