Bismalia Ivon Fernandez Then, SA-C
Bismalia Ivon Fernandez Then, SA-C is a Surgical Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York and Puerto Rico.
- Licensed in
- NY, PR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3405 Kossuth Ave Apt FBronx, NY 10467-2444
Phone: (551) 482-7078
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 001285-P.A. (PR) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 18-121 (NY) |
Record details
| NPI number | 1740988401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2023 |
| Last updated in NPPES | February 21, 2023 |
| Certification date | February 21, 2023 |
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