Individual
MS. ANGELINA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED TSHH
Contact information
Practice address
1301 5TH AVE, NEW YORK, NY 10029-3119
(212) 426-3400
Mailing address
8515 67TH AVE, PRIVATE HOUSE, REGO PARK, NY 11374-5213
(917) 854-3490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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