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Individual

ORLANDO HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(917) 547-7520
Mailing address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZA17225M
NY
Enumeration date
09/01/2021
Last updated
09/01/2021
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