Individual
DR. AMANDA ANDRE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
3530 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1931
(718) 762-2340
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
063755-01
NY
Other
Enumeration date
04/05/2018
Last updated
10/28/2024
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