DEBORA CLARK FAIRFAX
NPI 1821351347
Contractor in New York, NY

Active since June 19, 2012
164 W 121ST ST, NEW YORK, NY 10027(212) 866-2964 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Debora Clark Fairfax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORA CLARK FAIRFAX (NPI 1821351347) is an individual contractor provider in New York, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1821351347
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameDEBORA CLARK FAIRFAX
Location Address164 W 121ST STNew York, NY 10027-6324
Mailing Address164 W 121st StNew York, NY 10027-6324 · (212) 866-2964
Sole ProprietorYes
Enumeration DateJune 19, 2012
NPI 1821351347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

164 W 121ST ST, New York, NY 10027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821351347, enumerated as an "individual" on June 19, 2012.

The provider is located at 164 W 121ST ST NEW YORK, NY 10027 and the phone number is (212) 866-2964.

Contractor with taxonomy code 171W00000X.