Individual
GLORIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
404 E 66TH ST, APT 5N, NEW YORK, NY 10021-9308
(718) 934-1765
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
117454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640717
—
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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