Carl Fahrenkrug

NPI #1740970466 in Deer Park, New York

Provider Information

NPI Number: 1740970466
Entity Type: Individual
Name: Carl Fahrenkrug
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 213 BALDWIN PATH
City: Deer Park
State: New York
ZIP Code: 11729-1407
Phone: (631) 793-4690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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