Organization
HENRY FERNANDEZ-COS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY FERNANDEZ-COS MD (OWNER)
(201) 861-9229
Entity
Organization
Contact information
Practice address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
Mailing address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04426200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0650430001
AMERIHEALTH GROUP# (WNY)
NJ
01
—
0650430003
AMERIHEALTH GROUP (ENGLE)
NJ
Enumeration date
06/01/2006
Last updated
04/11/2008
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