Individual
ANGIE LORENA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2066 RICHMOND AVE STE 1L, STATEN ISLAND, NY 10314-3961
(718) 982-9001
(718) 982-9008
Mailing address
2066 RICHMOND AVE STE 1L, STATEN ISLAND, NY 10314-3961
(718) 982-9001
(718) 982-9008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
272686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04255125
—
NY
Enumeration date
05/20/2012
Last updated
12/01/2025
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