Individual
ADALGISA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 GRAND ST APT 3F, BROOKLYN, NY 11211-4847
(347) 724-1894
Mailing address
648 GRAND STREET 3F, BROOKLYN, NY 11211
(347) 724-1894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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