Luis Fernandez
Luis Fernandez is an Early Intervention Provider Agency in Bogota, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
45 Cypress AveBogota, NJ 07603-1801
Phone: (646) 755-5999
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X |
Record details
| NPI number | 1326814435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2023 |
| Last updated in NPPES | January 7, 2024 |
| Certification date | January 7, 2024 |
| Mailing address | 45 Cypress Ave, Bogota, NJ 07603-1801 |
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