Individual provider · Type 1 NPI

Jackie Antonia Fernandez

Specialist · Tomkins Cove, NY

NPI number 1831453919 Active

Practice location

22 Lighthouse Ct
Tomkins Cove, NY 10986-1102

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 1831453919

Jackie Antonia Fernandez's National Provider Identifier is 1831453919, issued on Jul 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tomkins Cove, NY. The record was last updated on Jul 3, 2012.