Luis Fernandez
NPI #1326814435 in Bogota, New Jersey
Provider Information
- NPI Number
- 1326814435
- Entity Type
- Individual
- Name
- Luis Fernandez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 29, 2023
- Last Updated
- Jan 7, 2024
Practice Location
- Address
- 45 CYPRESS AVE
- City
- Bogota
- State
- New Jersey
- ZIP Code
- 07603-1801
- Phone
- (646) 755-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Specialist |
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