Individual
MR. JAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431499-1
NY
363LF0000X
Family Nurse Practitioner
F337808
NY
Other
Enumeration date
10/05/2015
Last updated
09/04/2025
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