Individual
ULICES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
(718) 881-2245
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
568426
NY
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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