Individual
BLANCA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W 123RD ST, NEW YORK, NY 10027-5657
(971) 230-4644
Mailing address
23 W 123RD ST, NEW YORK, NY 10027-5657
(971) 230-4644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P03065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
09/14/2016
Last updated
10/31/2019
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