Individual
HEIDY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MORNINGSIDE AVE, NEW YORK, NY 10027-4802
(212) 923-2525
Mailing address
583 RIVERSIDE DR APT 4I, NEW YORK, NY 10031-8345
(917) 913-3324
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51027139
NY
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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