Individual
JUAN P HERNANDEZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
392 SEAVIEW AVE, STATEN ISLAND, NY 10305-2216
(718) 226-9000
Mailing address
258 SAND LN, STATEN ISLAND, NY 10305-4503
(718) 308-6944
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
318544
NY
Other
Enumeration date
04/13/2020
Last updated
10/24/2024
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