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1477704161
HERMINIO FERNANDEZ
WOODSIDE, NY
NPI
1477704161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NY 006666)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
Mr. HERMINIO FERNANDEZ optician
69-09 ROOSEVELT AVENUE
WOODSIDE, NY 11377
Phone number: 718-639-1392
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Mailing Address
Mr. HERMINIO FERNANDEZ optician
496 DEWEY AVENUE
SADDLE BROOK, NJ 07663
Phone number: 718-639-1392
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