Individual
MR. ANTONIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ED.
Contact information
Practice address
59 SLATE LN, LEVITTOWN, NY 11756-3936
(646) 523-3406
Mailing address
59 SLATE LN, LEVITTOWN, NY 11756-3936
(646) 523-3406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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