Provider Demographics
NPI:1841357092
Name:FENICHEL, REBECCA MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MICHELLE
Last Name:FENICHEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1296 NORTH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2603
Mailing Address - Country:US
Mailing Address - Phone:914-235-8224
Mailing Address - Fax:914-235-6940
Practice Address - Street 1:1296 NORTH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2603
Practice Address - Country:US
Practice Address - Phone:914-235-8224
Practice Address - Fax:914-235-6940
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2014-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY230544207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0126019OtherAETNA