Individual
MS. AIDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7109 67TH PL FL 1, GLENDALE, NY 11385-7029
(191) 760-0756
(171) 830-1971
Mailing address
7109 67TH PL FL 1, GLENDALE, NY 11385-7029
(191) 760-0756
(171) 830-1971
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15439
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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