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

Ilene Fennoy, MD

Individual provider Pediatrics Physician · NPI 1770575862

Ilene Fennoy, MD is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3959 Broadway Chn 106
New York, NY 10032
Phone: (212) 305-6559
Fax: (212) 305-4778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 122361 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 122361 (NY)

Record details

NPI number1770575862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESSeptember 11, 2025

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