Individual
MR. JAMES FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2483 5TH AVE, EAST MEADOW, NY 11554-3309
(516) 639-3775
Mailing address
2483 5TH AVE, EAST MEADOW, NY 11554-3309
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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