Individual
ADOLFO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 MILE SQUARE RD, YONKERS, NY 10704-1613
(914) 361-9062
Mailing address
1145 MILE SQUARE RD, YONKERS, NY 10704-1613
(914) 361-9062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324469-1
NY
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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