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1124565288
EDWARD FERNANDEZ
NEW YORK, NY
NPI
1124565288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25618)
Enumeration Date
2017-01-27
Last Update Date
2018-03-17
Business Address
EDWARD FERNANDEZ
103 E 125TH ST FL 8
NEW YORK, NY 10035-1641
Phone number: 212-774-3210
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Mailing Address
EDWARD FERNANDEZ
103 E 125TH ST FL 8
NEW YORK, NY 10035-1641
Phone number: 212-774-3210
Copy
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