Individual
BERNARDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
(516) 572-5609
Mailing address
135 SOUTH DR, NEW HYDE PARK, NY 11040-2232
(516) 775-2559
(516) 292-6287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
111273
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00199702
—
NY
Enumeration date
03/22/2006
Last updated
04/20/2017
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