Individual
ALICE GRACE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3400 CANNON PL, BRONX, NY 10463-4302
(718) 796-8100
Mailing address
2400 HUDSON TERRACE #4D, FORT LEE, NJ 07024
(201) 944-0909
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
012416
NY
Other
Enumeration date
05/08/2007
Last updated
01/08/2025
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