Individual
MR. FERNANDO ECHEVERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 ROOSEVELT AVE, SYSOSSET, NY 11791
(516) 496-4460
(516) 921-4432
Mailing address
202 STREET, 33-27, BAYSIDE, NY 11361-1143
(917) 834-3061
(347) 502-7184
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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