Organization
MARIA L FERNANDO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDO (MD)
(718) 386-1111
Entity
Organization
Contact information
Practice address
398 HIMROD ST, BROOKLYN, NY 11237-4446
(718) 386-1111
Mailing address
398 HIMROD ST, BROOKLYN, NY 11237-4446
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
154110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269945
—
NY
Enumeration date
09/08/2010
Last updated
01/05/2011
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