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Individual

ALYSA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
312 PROFESSIONAL VIEW DR BLDG 3002ND, FREEHOLD, NJ 07728-7904
(732) 431-1616
(732) 886-7962
Mailing address
501 EDGEGROVE AVE, STATEN ISLAND, NY 10312-2858
(718) 744-7866

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA12611700
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2021
Last updated
06/10/2025
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