Individual
CHRISTINE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3420 94TH ST, JACKSON HEIGHTS, NY 11372-3824
(718) 424-9031
(718) 424-9093
Mailing address
3420 94TH ST, JACKSON HEIGHTS, NY 11372-3824
(718) 424-9031
(718) 424-9093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025774-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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