Individual provider · Type 1 NPI

Mary Fernandes

Specialist · Setauket, NY

NPI number 1598325680 Active

Practice location

14 Surrey Ln
Setauket, NY 11733-3817

Call (631) 804-5765 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1598325680

Mary Fernandes's National Provider Identifier is 1598325680, issued on Jun 19, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Setauket, NY. The record was last updated on Jun 19, 2019.