Individual
DR. DEMITRIA DIANN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5780
(212) 312-5795
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
(928) 681-8578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262288-1
NY
207R00000X
Internal Medicine Physician
Primary
50757
AZ
208M00000X
Hospitalist Physician
50757
AZ
Other
Enumeration date
01/26/2009
Last updated
04/15/2026
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