Individual
MS. CHRISTINE FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
24818 UNION TPKE, BELLEROSE, NY 11426-1837
(718) 347-7621
(718) 347-4564
Mailing address
PO BOX 72, CARLE PLACE, NY 11514-0072
(516) 395-0207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014242
NY
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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