Individual
CARMEN LUISA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
(718) 886-8694
Mailing address
451 BOULEVARD, NEW MILFORD, NJ 07646-1918
(646) 938-6544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/25/2020
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