Individual
GREGORY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L. PLACE, BOX 1149, NEW YORK, NY 10029
(212) 824-8069
Mailing address
1 GUSTAVE L. PLACE, BOX 1149, NEW YORK, NY 10029
(212) 824-8069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300071
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
05/08/2020
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