Individual
JUNIOR FERNANDEZ FERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
278 HIGH AVE, NYACK, NY 10960-2407
(347) 613-8010
(347) 613-8010
Mailing address
278 HIGH AVE, NYACK, NY 10960-2407
(347) 613-8010
(347) 613-8010
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
518637228
NY
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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