Individual
NORMA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(178) 653-1537
(718) 882-1422
Mailing address
PO BOX 417150, BOSTON, MA 02241-7150
(718) 653-1537
(718) 882-1426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008211
—
NY
Enumeration date
07/22/2013
Last updated
07/22/2013
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