Individual
DR. MELWIN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23205 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2632
(847) 852-0894
Mailing address
204 WALDORF AVE, ELMONT, NY 11003-1521
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
038356-1
NY
Other
Enumeration date
01/09/2015
Last updated
09/23/2019
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