LISANDRO FABIAN M.D. NPI 1710425517

NPI Information

NPI: 1710425517
Provider Name: LISANDRO FABIAN, M.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1409 FRIENDSHIP ST
PHILADELPHIA, PA
ZIP 19111
Phone: (267) 761-7658
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Lisandro Fabian, M.D. is a mental health counselor in Philadelphia, PA. Lisandro Fabian, M.D. NPI is 1710425517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1409 FRIENDSHIP ST
PHILADELPHIA, PA
ZIP 19111-207
Phone: (267) 761-7658
Fax: (215) 291-8069

The enumeration date for this NPI number is 2/1/2017 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	003838	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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