Individual
ALLAN M. FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 FELTERS ROAD, BUILDING 8, BINGHAMTON, NY 13903
(607) 201-1200
(361) 902-4588
Mailing address
2570 ROUTE 9W, SUITE 10, CORNWALL, NY 12518-1323
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01071217A
IN
207Q00000X
Family Medicine Physician
Primary
285440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04527193
—
NY
Enumeration date
11/29/2011
Last updated
06/05/2019
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