Organization
DR. MICHAEL FERNANDEZ CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FERNANDEZ D.C. (CHIROPRACTOR)
(845) 901-7243
Entity
Organization
Contact information
Practice address
2543 ROUTE 44 55, GARDINER, NY 12525-5214
(845) 901-7243
Mailing address
PO BOX 205, GARDINER, NY 12525-0205
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X0120042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400054617
PTAN
—
Enumeration date
01/07/2013
Last updated
01/07/2013
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