Individual
DR. HERBERT MAURICIO MENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 WHITE PLAINS RD, BRONX, NY 10462-1445
(718) 892-1626
(718) 892-7060
Mailing address
2100 WHITE PLAINS RD, BRONX, NY 10462-1466
(516) 270-7819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
254982
NY
Other
Enumeration date
09/28/2009
Last updated
12/16/2011
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