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1063924272
MARIANELA FERNANDEZ
JAMAICA, NY
NPI
1063924272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-10-27
Last Update Date
2017-10-27
Business Address
MARIANELA FERNANDEZ
82-68 164TH STREET SUITE 1B-02
JAMAICA, NY 11432-1143
Phone number: 718-883-3070
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Mailing Address
MARIANELA FERNANDEZ
8268 164TH ST STE 1B-02
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
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