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

Debora Clark Fairfax

Individual provider Contractor · NPI 1821351347

Debora Clark Fairfax is a Contractor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

164 W 121st St
New York, NY 10027-6324 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 866-2964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (NY)

Record details

NPI number1821351347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012

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