Individual
MRS. NICAURIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-3500
Mailing address
149 WICKS RD, BRENTWOOD, NY 11717-2906
(631) 456-6771
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
728993
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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