Provider Demographics
NPI:1932266764
Name:FYER, MINNA REBECCA (MD)
Entity Type:Individual
Prefix:
First Name:MINNA
Middle Name:REBECCA
Last Name:FYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MINNA
Other - Middle Name:R
Other - Last Name:FYER ABBEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:160 EAST 89TH ST
Mailing Address - Street 2:APT 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2307
Mailing Address - Country:US
Mailing Address - Phone:212-426-9831
Mailing Address - Fax:
Practice Address - Street 1:242 E 72ND ST
Practice Address - Street 2:SUITE 1W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4574
Practice Address - Country:US
Practice Address - Phone:212-861-2586
Practice Address - Fax:212-439-6357
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1470972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
08E331Medicare UPIN