Individual
PUJA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
254 W 87TH ST, NEW YORK, NY 10024-2706
(212) 496-6440
Mailing address
254 W 87TH ST, NEW YORK, NY 10024-2706
(212) 496-6440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
317937
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
11/18/2022
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