Individual
DR. CONCEPCION G. HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 DELAWARE AVE, SUITE 204, LINWOOD COMMUNITY SERVICES, BUFFALO, NY 14202
(716) 882-3151
(716) 886-4002
Mailing address
625 DELAWARE AVE, SUITE 204, LINWOOD COMMUNITY SERVICES, BUFFALO, NY 14202
(716) 882-3151
(716) 886-4002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
160721-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160721-1
PHYSICIAN
NY
01
—
G31311
MEDICARE NUMBER
NY
Enumeration date
08/15/2006
Last updated
03/07/2023
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