Most Relevant Information
Provider Data
| NPI Number: | 1003296419 |
| Provider Name: | DAPHNE FERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2015 |
| Last Updated: | 06/10/2015 |
Provider Practice Location
110 UNION RD
APT. 3L
SPRING VALLEY
NY
109773447
Practice Location Phone/Fax
| Phone: | 6463877670 |
| Fax: |
Provider Mailing Location
110 UNION RD
APT. 3L
SPRING VALLEY
NY
109773447
Provider Mailing Phone/Fax
| Phone: | 6463877670 |
| Fax: |