Provider Demographics
NPI:1487451977
Name:FAUER, ERIN LEAH
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEAH
Last Name:FAUER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W 69TH ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5130
Mailing Address - Country:US
Mailing Address - Phone:315-663-4394
Mailing Address - Fax:
Practice Address - Street 1:117 W 69TH ST APT 5A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5130
Practice Address - Country:US
Practice Address - Phone:315-663-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered