Provider Demographics
NPI:1487718284
Name:WHEELER, FABIENNE YVES (MD)
Entity type:Individual
Prefix:DR
First Name:FABIENNE
Middle Name:YVES
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FABIENNE
Other - Middle Name:YVES
Other - Last Name:CHARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5 HOLLOW OAK RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3511
Mailing Address - Country:US
Mailing Address - Phone:914-238-9127
Mailing Address - Fax:914-238-8838
Practice Address - Street 1:175 KING ST
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3471
Practice Address - Country:US
Practice Address - Phone:914-238-8550
Practice Address - Fax:914-238-8838
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233794208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics