Provider Demographics
NPI:1447134176
Name:FERNANDEZ, NOEL
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DAVENPORT AVE APT 1J
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3412
Mailing Address - Country:US
Mailing Address - Phone:347-479-8759
Mailing Address - Fax:
Practice Address - Street 1:35 DAVENPORT AVE APT 1J
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-3412
Practice Address - Country:US
Practice Address - Phone:347-479-8759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter