Fernandez, Luis
Fernandez, Luis is an individual health care provider with primary practice located at 2976 Northern Blvd 2Nd Fl, Long Island City NY 11101-2822. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fernandez, Luis can be contacted via phone (212) 691-7554.Contact Information
Primary practice address
2976 Northern Blvd 2Nd Fl
Long Island City NY 11101-2822
Phone: (212) 691-7554
Fax: (347) 510-3457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18448 | New York |
Profile Details
| NPI number | 1205246881 |
|---|---|
| LBN Legal business name | Fernandez, Luis |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2014 |
| Last updated | May 5th, 2014 - about 10 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 | 1205246881 | NPPES |
| New York | MEDICAID | 02740141 |
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