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EDWARD FERNANDEZ
NPI 1124565288
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since January 27, 2017
103 E 125TH ST FL 8, NEW YORK, NY 10035(212) 774-3210 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 29, 2017, Jan 27, 2017 (3 updates tracked since 2017).

About Edward Fernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD FERNANDEZ (NPI 1124565288) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (25618) and active in the NPI registry since January 2017. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1124565288
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWARD FERNANDEZ
Location Address103 E 125TH ST FL 8New York, NY 10035-1641
Mailing Address103 E 125th St Fl 8New York, NY 10035-1641 · (212) 774-3210
Phone(212) 774-3210
Sole ProprietorNo
Enumeration DateJanuary 27, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1124565288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 25618
103 E 125TH ST FL 8, New York, NY 10035
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Secondary Practice Location 1

Location 11910 Arthur AveBronx, NY 10457-6305 · Phone (718) 466-8954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Fernandez's NPI number?

The NPI number for Edward Fernandez is 1124565288. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Edward Fernandez located?

Edward Fernandez practices at 103 E 125th St Fl 8, New York, NY 10035. The listed phone number is (212) 774-3210.

What is Edward Fernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Fernandez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.