Individual
TAINA I. HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
191 NORTH ST STE 206-12, BUFFALO, NY 14201-1510
(716) 882-6000
Mailing address
249 LINWOOD AVE APT 3D, BUFFALO, NY 14209-1818
(716) 563-2208
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
019887
NY
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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