Search › New York › 2080P0208X
Glenn Fennelly
NPI 1538220678 · on the registry since 2006
Practice
- Address
- 1400 Pelham Pkwy S
Bronx, NY 10461 - Phone
- (718) 918-3060
- Fax
- (718) 918-4469
- Organisation at this address
- Ji Yoo Lee
Adult Care Services
Ihs Of New York Inc
Jacobi Medical Center
Jacobi Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,513
Additional practice sites
- 4801 Alberta Ave, El Paso, TX
Registry record
- Primary taxonomy
- 2080P0208X
2080P0208X
- Also registered as
- 208000000X
208000000X - Licence states on file
- TX, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York