Individual
MRS. CARMEN HERNANDEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
529 E 138TH ST, BRONX, NY 10454-4925
(718) 618-7543
(718) 618-7545
Mailing address
529 E 138TH ST, BRONX, NY 10454-4925
(718) 618-7543
(718) 618-7545
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008692
NY
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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