Individual
MARIALYS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
25 W 18TH ST FL 4, NEW YORK, NY 10011-4676
(212) 388-2099
Mailing address
150 FEATHERBED LN APT 5G, BRONX, NY 10452-1680
(917) 833-2272
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027108
NY
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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