Individual
EMILY SEPAROVICH FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
204 WYTHE AVE, BROOKLYN, NY 11249-3364
(917) 694-8625
Mailing address
204 WYTHE AVE, BROOKLYN, NY 11249-3364
(917) 694-8625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F359262-01
NY
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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