Individual
DR. JACQUELINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
344 CARNATION DR, FARMINGDALE, NY 11735-7014
(516) 586-4791
Mailing address
344 CARNATION DR, FARMINGDALE, NY 11735-7014
(516) 586-4791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014093-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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