Individual
MRS. CRISMELY ELIZABETH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 MADISON AVE, NEW YORK, NY 10035-4518
(212) 289-6100
Mailing address
10215 ASTORIA BLVD, EAST ELMHURST, NY 11369-2006
(917) 207-6356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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