Organization
RFELINTERGRATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO FERNANDEZ RVT (MANAGEMENT)
(917) 349-0220
Entity
Organization
Contact information
Practice address
196 WILLOUGHBY ST APT 3S, BROOKLYN, NY 11201-7588
(917) 349-0220
Mailing address
196 WILLOUGHBY ST APT 3S, BROOKLYN, NY 11201-7588
(917) 349-0220
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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