Individual
AMANDA MARIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-5756
Mailing address
136 GREENE AVE, PORT JEFFERSON STATION, NY 11776-4414
(631) 357-2671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
673232-1
NY
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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