Individual
DR. SONIA HERNANDEZ CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
229 HALES MILLS RD, JOHNSTOWN, NY 12095-3743
(214) 471-3597
Mailing address
229 HALES MILLS RD, JOHNSTOWN, NY 12095-3743
(214) 471-3597
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
251522
NY
207W00000X
Ophthalmology Physician
A-1699-12
NM
208D00000X
General Practice Physician
251522
NY
208D00000X
General Practice Physician
A-1699-12
NM
Other
Enumeration date
09/15/2011
Last updated
08/17/2021
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