Individual
JESUS M HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 FORT WASHINGTON AVE, SUITE AA, NEW YORK, NY 10032-1218
(212) 740-2270
(212) 923-0908
Mailing address
271 FORT WASHINGTON AVE, SUITE AA, NEW YORK, NY 10032-1218
(212) 740-2270
(212) 923-0908
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
163969
NY
208D00000X
General Practice Physician
163969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00922752
—
NY
Enumeration date
01/29/2007
Last updated
03/07/2023
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