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1093158552
ANTHONY FERNANDES
MINEOLA, NY
NPI
1093158552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 287696)
Enumeration Date
2013-04-15
Last Update Date
2024-06-26
Business Address
ANTHONY FERNANDES
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-2216
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Mailing Address
ANTHONY FERNANDES
25 MAPLE AVE APT 422
NEW ROCHELLE, NY 10801-7391
Phone number:
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