Individual
ANDREA HENAO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7626
Mailing address
714 LIBERTY AVE, UNION, NJ 07083-8125
(973) 970-5910
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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