Individual
GUADALUPE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
4419 3RD AVE, BRONX, NY 10457-2562
(718) 364-7700
Mailing address
27-13 RAPHAEL ST, FAIR LAWN, NJ 07410-3822
(347) 925-4634
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002695-01
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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