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Jessica Fernandez
NPI 1578706081 · on the registry since 2009
Practice
- Address
- 5225 Nesconset Highway, Suite 30
Port Jefferson Station, NY 11776 - Phone
- (631) 473-4284
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York