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Heidy Fernandez

Dental Hygienist in New York, NY. Individual provider (NPI-1).

NPI number1760925366
StatusActive
Last updated in NPPESNov 30, 2016

Details

NPI
1760925366
Entity type
Individual (NPI-1)
Name
Heidy Fernandez
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2016
Last updated
Nov 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist51027139NYYes

Practice location

133 Morningside Ave
New York, NY 10027-4802

Phone 212-923-2525

Mailing address

583 Riverside Dr Apt 4i
New York, NY 10031-8345

Phone 917-913-3324

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