Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 274374 | NY |
Y | 2080P0210X | Pediatric Nephrologist | 274374 | NY |
NPI | 1831396142 |
---|---|
Provider Name | Hilda Elena Fernandez |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 10/12/2021 |