Individual
VICTOR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 S LEXINGTON AVE APT 5K, WHITE PLAINS, NY 10606-2527
(917) 860-0050
Mailing address
235 S LEXINGTON AVE APT 5K, WHITE PLAINS, NY 10606-2527
(917) 860-0050
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
168607416
NY
343900000X
Non-emergency Medical Transport (VAN)
Primary
168607416
NY
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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