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Carl Fahrenkrug
Peer Specialist in Deer Park, New York
NPI 1740970466

Carl Fahrenkrug is a Peer Specialist based in Deer Park, NY. Carl Fahrenkrug practices in Deer Park, NY. The NPI Number for Carl Fahrenkrug is 1740970466 and holds a License No. (New York).

The current practice location address for Carl Fahrenkrug is 213 Baldwin Path, Deer Park, NY and can be reached out via phone at 631-793-4690.

Location: 213 Baldwin Path, Deer Park, NY, 11729-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740970466
Provider Name
Carl Fahrenkrug
Credential
Provider Entity Type
Individual
Gender
Male
Address
213 Baldwin Path, Deer Park, NY, 11729-1407
Phone Number
631-793-4690
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
213 Baldwin Path
City
Deer Park
State
New York
Zip
11729-1407
Phone Number
631-793-4690
Fax Number
person
Provider Business Mailing Address Details
Address
213 Baldwin Path
City
Deer Park
State
New York
Zip
11729-1407
Phone Number
631-793-4690
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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