Individual
DR. SUSAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
424 BAY RIDGE PKWY, BROOKLYN, NY 11209-2702
(718) 833-2777
Mailing address
424 BAY RIDGE PKWY, BROOKLYN, NY 11209-2702
(718) 833-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0534721
NY
1223P0221X
Pediatric Dentistry
Primary
0534721
NY
Other
Enumeration date
05/08/2007
Last updated
08/22/2024
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