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1700752821
MARIO FERNANDEZ
BRONX, NY
NPI
1700752821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 39562)
Enumeration Date
2025-10-15
Last Update Date
2025-10-21
Business Address
MARIO FERNANDEZ
770 E 176TH ST FL 3
BRONX, NY 10460-4617
Phone number: 718-583-5150
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Mailing Address
MARIO FERNANDEZ
3850 SEDGWICK AVE APT 11E
BRONX, NY 10463-4411
Phone number: 718-543-9355
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