Individual
ALEXIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
(212) 828-7473
Mailing address
460 W 149TH ST APT 1, NEW YORK, NY 10031-3633
(646) 464-0344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P129909
NY
Other
Enumeration date
07/29/2024
Last updated
11/15/2024
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