Individual
NESTOR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
33 HEATH RD, FISHKILL, NY 12524-2024
(845) 490-5686
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
645691-01
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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