Individual
LYNN HERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST, PEDIATRIC CRITICAL CARE UNIT, BUFFALO, NY 14222-2006
(716) 878-7442
(716) 878-7101
Mailing address
4511 HARLEM RD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
189246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010075901
UNIVERA
NY
01
—
000524363001
BC/BS
NY
01
—
0014385880001
PA MEDICAID
NY
05
—
01339151
—
NY
01
—
040426000964
FIDELIS
NY
01
—
2640780
OHIO MEDICAID
NY
01
—
9409269
IHA
NY
Enumeration date
10/04/2006
Last updated
09/24/2008
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