Illekuttige Fernando
Illekuttige Fernando is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
26 Dumont AveStaten Island, NY 10305-1450
Phone: (718) 667-8510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 777629 (NY) |
|---|
Record details
| NPI number | 1518518687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2019 |
| Last updated in NPPES | September 20, 2019 |
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