Individual
ASHLEY ESMERALDA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 DEBEVOISE AVE, ROOSEVELT, NY 11575-1712
(516) 417-6509
Mailing address
82 DEBEVOISE AVE, ROOSEVELT, NY 11575-1712
(516) 417-6509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33710501
NY
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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