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Individual
DR. YAJAIRA ROSEMARY FERNANDEZ
Active
Individual
DR. YAJAIRA ROSEMARY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006823
NY
152W00000X
Optometrist
Primary
TUV006823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006823
LICENSE
NY
05
—
02611329
—
NY
01
—
11728195
CAQH
—
Enumeration date
11/09/2006
Last updated
10/22/2021
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