Organization
MIGUEL R. HERNANDEZ MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL RAFAEL HERNANDEZ M.D (PHYSICIAN)
(718) 323-5500
Entity
Organization
Contact information
Practice address
286 FT WASHINGTON AVE SUITE 1B, NEW YORK, NY 10032-3108
(914) 631-2600
(914) 631-0091
Mailing address
153 HOMEWOOD AVE, YONKERS, NY 10701-5228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
246969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03386532
—
NY
Enumeration date
08/15/2011
Last updated
12/31/2014
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