IndividualActive
Ilene Fennoy, MD
NPI 1770575862 · Pediatric Endocrinology Physician · New York, NY
Provider details
- NPI number
- 1770575862
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 122361 (NY)
Practice location
3959 Broadway
Chn 106
New York, NY 10032
Phone: (212) 305-6559
Fax: (212) 305-4778
Mailing address
630 W 168th St
New York, NY 10032
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.