Fernandez, Juan Constantino

Fernandez, Juan Constantino is an individual health care provider with primary practice located at 19 E Market St , Red Hook NY 12571-1424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fernandez, Juan Constantino can be contacted via phone (845) 758-8896.

Contact Information

Primary practice address
19 E Market St Red Hook NY 12571-1424
Phone: (845) 758-8896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 115969 New York

Profile Details

NPI number 1851399539
LBN Legal business name Fernandez, Juan Constantino
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851399539 NPPES
New York Other 117097 MVP HEALTH PLAN
New York MEDICAID 00214613 MVP HEALTH PLAN

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