Individual
MR. DENNIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4852 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7515
(347) 535-1492
Mailing address
24 BRANDT PL, AMSTERDAM, NY 12010-3214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020314-1
NY
Other
Enumeration date
06/16/2008
Last updated
04/18/2013
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