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Individual

DANIEL HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6530 KISSENA BLVD, FLUSHING, NY 11367-1575
(718) 570-0516
Mailing address
2903 OLD YORKTOWN RD, YORKTOWN HEIGHTS, NY 10598-2317
(914) 479-9639

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
447922
NY
2255A2300X
Athletic Trainer
Primary
002282-1
NY

Other

Enumeration date
11/05/2021
Last updated
11/05/2021
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