DEBORA CLARK FAIRFAX NPI 1821351347

NPI Information

Debora Clark Fairfax is a contractor in New York, NY. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Debora Clark Fairfax NPI is 1821351347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

164 W 121ST ST
NEW YORK, NY
ZIP 10027-324
Phone: (212) 866-2964

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.

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:

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