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Contact Information

HAROLD A FERNANDEZ, MD
100 NICOLLS RD
HSC L19-080
STONY BROOK, NY11794-8191
 Phone: 631-444-1820
 Fax: 631-444-8963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HAROLD A FERNANDEZ · (Male)

NPI # 1720196546
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 197070
  • NY Medicaid 02176396
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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