Individual
VICTOR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. PNP
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513
(315) 359-2660
(315) 359-2635
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382755
NY
Other
Enumeration date
06/18/2017
Last updated
05/03/2019
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