Fernandes, John
Fernandes, John is an individual health care provider with primary practice located at 3959 Broadway Columbia University Departmt .Pediatric, New York NY 10032-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fernandes, John can be contacted via phone (212) 304-7250.Contact Information
Primary practice address
3959 Broadway Columbia University Departmt .Pediatric
New York NY 10032-1559
Phone: (212) 304-7250
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 175252 | New York |
Profile Details
| NPI number | 1073589883 |
|---|---|
| LBN Legal business name | Fernandes, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Mar 10th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073589883 | NPPES |
| New York | MEDICAID | 01851101 | |
| New York | Other | 002673 |
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