Individual provider · Type 1 NPI
Serena Marie Fernandez-Wallace, DC
Chiropractor · Huntington, NY
NPI number
1578687208
Active
Practice location
199 Oakwood Rd
Huntington, NY 11743-4213
Fax (631) 425-3399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X009610-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1578687208
Serena Marie Fernandez-Wallace, DC's National Provider Identifier is 1578687208, issued on Mar 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Huntington, NY. The record was last updated on Jul 8, 2007.