Individual
MS. CARMEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 EASTCHESTER RD, BRONX, NY 10469-5915
(718) 882-2111
(718) 882-2117
Mailing address
2622 HARDING AVE, APT. 2, BRONX, NY 10465-3190
(718) 518-3969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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