Individual
DR. HENRY FERNANDEZ-COS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
(201) 861-9272
Mailing address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
(201) 861-9272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04426200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044262
HIP PROVIDER #
NJ
01
—
0650430001
AMERIHEALTH #
NJ
01
—
11737
UHP #
NJ
01
—
2223587
AETNA HMO #
NJ
05
—
3232808
—
NJ
01
—
4207231
AETNA PPO #
NJ
01
—
55D651
EMPIRE BC/BS # WNY
NJ
01
—
55D653
EMPIRE BC/BS # ENGLEWOOD
NJ
01
—
9537733
GHI PPO #
NJ
01
—
J38367
HEALTHNET #
NJ
01
—
P771423
OXFORD PROVIDER #
NJ
Enumeration date
06/02/2005
Last updated
04/11/2008
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