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Organization
HERNANDEZ PODIATRY P.C.
Active
Organization
HERNANDEZ PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A HERNANDEZ DPM (PODIATRIST)
(631) 968-6300
Entity
Organization
Contact information
Practice address
85 W MAIN ST, SUITE 102, BAY SHORE, NY 11706-8345
(631) 968-6300
(631) 968-5886
Mailing address
85 W MAIN ST, SUITE 102, BAY SHORE, NY 11706-8345
(631) 968-6300
(631) 968-5886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01098342
—
NY
01
—
11151
VYTRA
NY
01
—
CJ2956
RAILROAD MEDICARE
NY
01
—
CS816
OXFORD
NY
Enumeration date
04/17/2007
Last updated
07/09/2008
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