Individual
RAFAEL C HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.O.
Contact information
Practice address
15 FLETCHER AVE, VALLEY STREAM, NY 11580-4000
(516) 872-3033
(516) 872-5927
Mailing address
57 S CORONA AVE, VALLEY STREAM, NY 11580-5725
(516) 872-3033
(516) 872-5927
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
217496
NY
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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