Individual
MS. LEONIDAS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7149
Mailing address
14809 88TH AVE APT 3A, JAMAICA, NY 11435-3424
(718) 297-0220
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004194
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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