Individual provider · Type 1 NPI

Ilene Fennoy, MD

Pediatric Endocrinology Physician · New York, NY

NPI number 1770575862 Active

Practice location

3959 Broadway, Chn 106
New York, NY 10032

Fax (212) 305-4778

Mailing address

630 W 168th St, PH5E 522
New York, NY 10032

Other practice locations

  • 19 Bradhurst Ave Ste 2900S, Hawthorne, NY 10532-2194 · (914) 919-9280

Specialties and licenses

TaxonomyCodeLicense
Pediatric Endocrinology Physician Primary 2080P0205X122361 (NY)
Pediatrics Physician 208000000X122361 (NY)

Pediatric Endocrinology Physician: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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About NPI 1770575862

Ilene Fennoy, MD's National Provider Identifier is 1770575862, issued on Aug 16, 2005. The primary taxonomy on file is Pediatric Endocrinology Physician (2080P0205X), and the practice location is in New York, NY. The record was last updated on Sep 22, 2026.