Individual
DR. JEISSON FERNEY FONTECHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N STE 350A, MINEOLA, NY 11501-3814
(516) 663-2691
Mailing address
222 STATION PLZ N STE 350A, MINEOLA, NY 11501-3814
(516) 663-2691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277689
NY
Other
Enumeration date
08/27/2008
Last updated
03/31/2021
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