National Provider Identifier Database

GLENN J FENNELLY
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

GLENN J FENNELLY
1400 PELHAM PKWY S
BRONX, NY10461-1138
Phone: 718-918-3060
Fax: 718-918-4469
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GLENN J FENNELLY

NPI Number 1538220678
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 07/02/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 177223-1
  • TX License #: S7213
  • MN Medicaid: 01484248
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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