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Ferderico Bernal

Technician/Technologist, Optician in Astoria, NY. Individual provider (NPI-1).

NPI number1093382004
StatusActive
Last updated in NPPESJun 8, 2021

Details

NPI
1093382004
Entity type
Individual (NPI-1)
Name
Ferderico Bernal
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2021
Certification date
Jun 8, 2021
Last updated
Jun 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician007100NYYes

Practice location

3418 Broadway
Astoria, NY 11106-1276

Phone 718-204-5037 · Fax 718-204-1753

Mailing address

3418 Broadway
Astoria, NY 11106-1276

Phone 718-204-5037 · Fax 718-204-1753

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