Individual
CARLOS A FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8335 TALBOT ST # 2, KEW GARDENS, NY 11415-3550
(305) 878-2628
Mailing address
8335 TALBOT ST # 2, KEW GARDENS, NY 11415-3550
(305) 878-2628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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