Individual
DANA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-1353
(631) 444-3600
Mailing address
2 TARA CT, LAKE GROVE, NY 11755-2617
(631) 252-9555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3477973
NY
Other
Enumeration date
08/16/2021
Last updated
01/11/2023
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