Individual
ANGELICA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 MONTAUK HWY, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292
Mailing address
45 RESEARCH WAY, EAST SETAUKET, NY 11733-6401
(631) 615-8279
(631) 350-7200
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
231840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588076
—
NY
Enumeration date
04/03/2006
Last updated
10/14/2021
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