Individual
VICTOR FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 WASHINGTON AVE APT 6A, BRONX, NY 10457-4349
(917) 332-6874
Mailing address
1969 WASHINGTON AVE APT 6A, BRONX, NY 10457-4349
(917) 332-6874
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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