Individual
KATRINA ELIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(516) 965-2449
Mailing address
4705 CENTER BLVD, APT 1012, LONG ISLAND CITY, NY 11109-5740
(516) 965-2449
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
275583
NY
208000000X
Pediatrics Physician
0116023153
VA
208000000X
Pediatrics Physician
275583
NY
Other
Enumeration date
07/07/2011
Last updated
10/24/2025
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