Individual
MELANIE FERNANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1395 LEXINGTON AVE, MEZZANINE LEVEL, NEW YORK, NY 10128-1612
(646) 707-0400
(646) 707-0380
Mailing address
173 E 102ND ST, APT D, NEW YORK, NY 10029-5713
(917) 399-7397
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3507-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3507-1
OFFICE OF THE PROFESSIONS, LICENSED ACUPUNCTURIST
NY
Enumeration date
12/13/2013
Last updated
12/13/2013
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