Provider Demographics
NPI:1740253483
Name:FERRER, FERNANDO (MD)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:
Last Name:FERRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:247 ROUTE 100
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3231
Mailing Address - Country:US
Mailing Address - Phone:914-962-8290
Mailing Address - Fax:914-962-8851
Practice Address - Street 1:100 SIMSBURY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3793
Practice Address - Country:US
Practice Address - Phone:860-409-0413
Practice Address - Fax:860-499-5418
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2017-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT035121208800000X, 2088P0231X
NY2864552088P0231X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001351212Medicaid
CTE77480Medicare UPIN
CT001351212Medicaid