Individual
JORDAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1149, NEW YORK, NY 10029-6504
(212) 824-8069
Mailing address
ONE GUSTAVE L. LEVY PLACE, BOX 1149, NY, NY 10029-6574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
299208
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
06/05/2019
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