Individual
HERNANDE FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1410 BROOKLYN BLVD, BAY SHORE, NY 11706-4013
(631) 408-2523
Mailing address
1410 BROOKLYN BLVD, BAY SHORE, NY 11706-4013
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
954697
NY
164W00000X
Licensed Practical Nurse
347386
NY
Other
Enumeration date
10/16/2023
Last updated
01/16/2025
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