Individual
DEBORAH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Mailing address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381433-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F381433-1
LICENSE
NY
Enumeration date
08/17/2006
Last updated
07/08/2007
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