Individual
DR. WILLIAM ANTHONY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
85 W MAIN ST, SUITE 102, BAY SHORE, NY 11706-8345
(631) 968-6300
(631) 968-5886
Mailing address
85 W MAIN ST, SUITE 102, BAY SHORE, NY 11706-8345
(631) 968-6300
(631) 968-5886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01098342
—
NY
01
—
480032633
RAILROAD MEDICARE
NY
Enumeration date
09/16/2006
Last updated
07/09/2008
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