Individual
DONNA R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
365 GATES AVE # 2, BROOKLYN, NY 11216-1308
(347) 623-3561
Mailing address
365 GATES AVE # 2, BROOKLYN, NY 11216-1308
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006113
NY
Other
Enumeration date
11/01/2017
Last updated
03/17/2018
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