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Organization

GH PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWENDOLYN HERNANDEZ DNP (FNP-BC)
(646) 339-2321
Entity
Organization

Contact information

Practice address
878 VAN DUZER ST, STATEN ISLAND, NY 10304-1816
(646) 339-2321
(718) 285-4124
Mailing address
878 VAN DUZER ST, STATEN ISLAND, NY 10304-1816
(718) 285-4124

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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