DEBORA CLARK FAIRFAX (NPI# 1821351347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821351347 |
| Entity Type | Individual |
| Full Name | DEBORA CLARK FAIRFAX |
| Practice Address |
164 W 121st St New York NY 10027-6324 |
| Practice Telephone | 2128662964 |
| Mailing Telephone | 2128662964 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | NY | Other Service Providers |
| Street Address |
164 W 121ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| 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). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411471 | Natasha Katarina Nesic | Contractor | 237 W 74th St # 6-11, New York, NY 10023-2108 | 2019-01-24 |
| 1003394032 | Millennium Podiatry, P.C. | Contractor | 103 E 78th St Ste 103, New York, NY 10075-0301 | 2018-08-01 |
| 1528436896 | Alice Cruz | Contractor | 340 E 4th St, 5a, New York, NY 10009-8528 | 2015-09-03 |
| 1245613017 | Jonathan A Lulov | Contractor | 530 W 45th St, New York, NY 10036-3697 | 2015-06-29 |
| 1710376041 | Jane Lavin | Contractor | 30 W 18th St, 6c, New York, NY 10011-4667 | 2015-01-09 |
| 1124434089 | Helen Marsha Goodman | Contractor | 155 E 52nd St, 6l, New York, NY 10022-6029 | 2014-07-10 |
| 1326451287 | Hyou Jin Kim | Contractor | 69 E 97th St Apt 22, New York, NY 10029-7010 | 2014-06-09 |
| 1982949186 | William James Sharp Jr. | Contractor | 220 Edgecombe Ave, New York, NY 10030-1141 | 2012-11-29 |
| 1427301993 | Scott Fierman | Contractor | 75 E 2nd St Apt 3, New York, NY 10003-0201 | 2012-10-22 |
| 1902154560 | Leora Welner | Contractor | 125 East 90th St., #2c, New York, NY 10128 | 2012-08-29 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.