Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Fahrenkrug

Individual provider Peer Specialist · NPI 1740970466

Carl Fahrenkrug is a Peer Specialist in Deer Park, New York. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

213 Baldwin Path
Deer Park, NY 11729-1407
Phone: (631) 793-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1740970466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

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