Individual provider · NPI-1

Peter Anthony Hernandez, DPM

Podiatrist, Foot & Ankle Surgery · Bay Shore, NY

NPI number1295881746
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295881746
Entity type
Individual (NPI-1)
Name
Peter Anthony Hernandez
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryN0034761NYYes

Practice location

85 W Main Street
Suite 102
Bay Shore, NY 11706

Phone 631-968-6300 · Fax 631-968-5886

Mailing address

85 W Main Street
Suite 102
Bay Shore, NY 11706

Phone 631-968-6300 · Fax 631-968-5886

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist, Foot & Ankle Surgery providers in Bay Shore, NY