Individual provider · Type 1 NPI

Lara Madonia Fabish, RN, CRNP

Pediatric Nurse Practitioner · Bronx, NY

NPI number 1962776328 Active

Practice location

3415 Bainbridge Ave
Bronx, NY 10467-2403

Call (718) 741-2342 Map

Mailing address

3260 Henry Hudson Pkwy, Apt 3K
Bronx, NY 10463-3289

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	SP011810 (PA)
Pediatric Nurse Practitioner Primary	363LP0200X	382634 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962776328

Lara Madonia Fabish, RN, CRNP's National Provider Identifier is 1962776328, issued on Mar 2, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Oct 7, 2016.