Individual
ROSE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
957 WILSON BLVD, CENTRAL ISLIP, NY 11722-2830
(631) 456-7325
Mailing address
957 WILSON BLVD, CENTRAL ISLIP, NY 11722-2830
(631) 456-7325
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
330842-1
NY
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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