Individual provider · Type 1 NPI

Bismalia Ivon Fernandez Then, SA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1740988401 Active

Practice location

3405 Kossuth Ave Apt F
Bronx, NY 10467-2444

Call (551) 482-7078 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X18-121 (NY)
Surgical Physician Assistant Primary 363AS0400X001285-P.A. (PR)

Surgical Physician Assistant: Definition to come...

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About NPI 1740988401

Bismalia Ivon Fernandez Then, SA-C's National Provider Identifier is 1740988401, issued on Feb 21, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 21, 2023.