Organization
IVAN HERNANDEZ MD PC
Active
Other names
VascularCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN AURELIO HERNANDEZ MD FACS CWS FCCWS (PRESIDENT)
(518) 382-9585
Entity
Organization
Contact information
Practice address
1367 UNION ST, SCHENECTADY, NY 12308-3019
(518) 382-9585
(518) 382-9685
Mailing address
1367 UNION STREET, SCHENECTADY, NY 12308-4019
(518) 382-9585
(518) 382-9685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
093218-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569195
—
NY
01
—
093218-6W
WORKERS COMPENSATION
NY
01
—
SP0208
MVP
NY
Enumeration date
01/09/2006
Last updated
01/12/2011
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