Basic Information
Provider Information
NPI: 1578887899
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERNANDEZ
FirstName: FRANCES
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 112 SEDGWICK AVENUE
Address2:  
City: YONKERS
State: NY
PostalCode: 10705
CountryCode: US
TelephoneNumber: 9143768174
FaxNumber: 9143780180
Practice Location
Address1: 845 N BROADWAY
Address2: C/O WJCS
City: WHITE PLAINS
State: NY
PostalCode: 106032403
CountryCode: US
TelephoneNumber: 9147610600
FaxNumber: 9147615367
Other Information
ProviderEnumerationDate: 03/15/2010
LastUpdateDate: 07/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X665413NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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