| Joseph Fanous, MD | |
|
355 Bard Ave Dept Of, Staten Island, NY 10310-1664 | |
| (661) 303-5503 | |
| Not Available |
| Full Name | Joseph Fanous |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 4 Years |
| Location | 355 Bard Ave Dept Of, Staten Island, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154010700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 205886 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Kern | 7810887205 | 75 |
| Entity Name | County of Kern |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568658821 PECOS PAC ID: 7810887205 Enrollment ID: O20040324000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Fanous, MD 355 Bard Ave Dept Of, Staten Island, NY 10310-1664 Ph: (661) 303-5503 | Joseph Fanous, MD 355 Bard Ave Dept Of, Staten Island, NY 10310-1664 Ph: (661) 303-5503 |
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