Individual
MARY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
4 UNIVERSITY PL, STATEN ISLAND, NY 10301-3423
(718) 442-2577
Mailing address
185 BEMENT AVE, STATEN ISLAND, NY 10310-1505
(718) 442-2577
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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