Individual
RYAN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 W 34TH ST, APT# 14B2, NEW YORK, NY 10001-3097
(909) 720-3374
Mailing address
50 WEST 34TH STREET, APT# 14B2, NEW YORK, NY 10001-3068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56 007166
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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