DR. GLEN FERNANDES, MD

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1396601480

Practice Address

111 E 210TH ST
Bronx, NY 10467

Phone: (718) 920-4321

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1396601480 is the National Provider Identifier for DR. GLEN FERNANDES, MD, a Student in an Organized Health Care Education/Training Program provider located in Bronx, NY. This NPI was enumerated on January 1, 2026.
DR. GLEN FERNANDES, MD practices at 111 E 210TH ST, Bronx, NY 10467.

Quick Facts

NPI
1396601480
Type
Individual
Enumerated
Jan 1, 2026
Last Updated
Jan 1, 2026

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