Individual
CRYSTAL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CONWAY CT, TROY, NY 12180-2108
(518) 274-6525
(518) 274-6511
Mailing address
141 WESTERN PKWY, SCHENECTADY, NY 12304-1315
(518) 274-6525
(518) 274-6511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304792
NY
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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