Individual
ANA LYDIA HERNANDEZ-VILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
22018 HORACE HARDING EXPY, BAYSIDE, NY 11364-2227
(718) 423-0056
(718) 229-5370
Mailing address
2750 LACONIA AVE # 2, BRONX, NY 10469-1417
(917) 349-9237
(347) 843-8005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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