Individual
MR. RAFAEL HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
107 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7461
(914) 378-7273
Mailing address
107 S BROADWAY LOWR LEVEL, YONKERS, NY 10701-4006
(914) 378-7461
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403389-01
NY
Other
Enumeration date
03/25/2021
Last updated
05/10/2021
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