Individual
DR. JOHN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4322 50TH ST, SUITE 1-B, WOODSIDE, NY 11377-4442
(718) 424-4455
(718) 478-8672
Mailing address
1 PIA CT, HAUPPAUGE, NY 11788-3461
(631) 793-2087
(718) 478-8672
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
C-007735-6B
NY
111NS0005X
Sports Physician Chiropractor
C-007735-6B
NY
111NX0800X
Orthopedic Chiropractor
Primary
C-007735-6B
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376750
CIGNA HEALTHCARE
NY
Enumeration date
03/30/2007
Last updated
09/11/2025
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