Individual
GUSTAVO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
321978
NY
Other
Enumeration date
03/31/2020
Last updated
09/17/2024
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