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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEBORA CLARK FAIRFAX

Active Sole Proprietor

DEBORA CLARK FAIRFAX is a Contractor healthcare provider located in NEW YORK, New York. NPI 1821351347 is currently active in the NPPES registry. Verify at CMS.

Contractor · NEW YORK, NY

Registration Details

NPI Number
1821351347
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2012 (14.19180250317 yrs)
Last Updated
Jun 19, 2012
Sole Proprietor
Yes

Practice Information

Address
164 W 121ST ST
NEW YORK, NY, 100276324
Browse NY providers · Browse ZIP 10027
Phone
2128662964
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in NEW YORK, NY

Name Credential NPI
MS. AMY MARIE SCHRANK MS OTR 1184703092
MS. JILL DAVIS O.T.R. 1376798827
MS. GALINA KHAIMOVA OTA 1568608297
DR. AMY ELIZA HERON DPT 1255571840
JOAN ELLAZAR 1518109065
ANDREA MAMANI MSPT 1053549923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.