(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003550252
Provider Name: KIMBERLY FERNANDEZ
Entity Type: Individual
Taxonomy Code: 171M00000X
Specialty: Case Manager/Care Coordinator
License Number:
Most Important Dates
Enumeration Date: 04/25/2022
Last Updated: 04/25/2022
Provider Practice Location
225 BROADHOLLOW RD
MELVILLE
NY
117474822
Practice Location Phone/Fax
Phone: 6313857780
Fax:
Provider Mailing Location
225 BROADHOLLOW RD
MELVILLE
NY
117474822
Provider Mailing Phone/Fax
Phone: 6313857780
Fax: