Individual
MELANIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14410 JAMAICA AVE, JAMAICA, NY 11435-3624
(718) 206-1990
Mailing address
790 ROCKAWAY AVE, APT 1D, VALLEY STREAM, NY 11581-2012
(718) 206-1990
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
696059
NY
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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