MEDICARE: DR. JUAN CONSTANTINO FERNANDEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	115969	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	117097	OTHER	NY	MVP HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851399539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN CONSTANTINO FERNANDEZ MD

Provider Business Mailing Address
First Line	:	19 E MARKET ST
Second Line	:
City	:	RED HOOK
State	:	NY
Zip	:	12571-1424
Country	:	US
Telephone Number	:	845-758-8896
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 E MARKET ST
Second Line	:
City	:	RED HOOK
State	:	NY
Zip	:	12571-1424
Country	:	US
Telephone Number	:	845-758-8896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1780702894 — PLANNED PARENTHOOD OF THE MID HUDSON VALLEY
Practice Location Address:

19 E MARKET ST
RED HOOK, NY
12571-1424

Practice Phone: 845-758-2032
Practice Fax: 845-758-5830

1538162698 — DR. MAUREEN E. LYNCH-RINALDI AU.D.
Practice Location Address:

7385 S BROADWAY
RED HOOK, NY
12571

Practice Phone: 845-758-1456
Practice Fax:

1295738946 — DR. STEVEN PERKEL D.D.S
Practice Location Address:

44 W MARKET ST
RED HOOK, NY
12571-1511

Practice Phone: 845-758-6677
Practice Fax:

1588656441 — JANA GALE VENGRIN NP
Practice Location Address:

7875 ALBANY POST RD
RED HOOK, NY
12571-2147

Practice Phone: 845-758-8101
Practice Fax: 845-758-8102

1962494872 — MS. MAUREEN RIST MARCHESSAULT LCSW-R
Practice Location Address:

21 ECHO VALLEY RD
RED HOOK, NY
12571-2302

Practice Phone: 845-758-5955
Practice Fax:

1063407989 — DR. ANGELA C CAVANNA DO
Practice Location Address:

17 GLENN POND ROAD , SUITE 3
RED HOOK, NY
12571-1824

Practice Phone: 845-758-6046
Practice Fax: 845-758-6051

Directions to “ DR. JUAN CONSTANTINO FERNANDEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.