Individual
ROSELYN FERNANDEZ-MANICKCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
11644 121ST ST, SOUTH OZONE PARK, NY 11420-2404
(347) 645-6092
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
250401
NY
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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