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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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.
Other specialist providers in Tomkins Cove
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.