Individual
MR. EDWARD R. HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2016 HIMROD ST, RIDGEWOOD, NY 11385-1233
(718) 501-2672
Mailing address
2016 HIMROD ST, RIDGEWOOD, NY 11385-1233
(718) 501-2672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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