Individual provider · NPI-1

Dr. William Anthony Hernandez, DPM

Podiatrist, Foot & Ankle Surgery · Bay Shore, NY

NPI number1578669693
StatusActive
Last updated in NPPESJul 9, 2008

Details

NPI
1578669693
Entity type
Individual (NPI-1)
Name
Dr. William Anthony Hernandez
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2006
Last updated
Jul 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery3933NYYes

Practice location

85 W Main St
Suite 102
Bay Shore, NY 11706-8345

Phone 631-968-6300 · Fax 631-968-5886

Mailing address

85 W Main St
Suite 102
Bay Shore, NY 11706-8345

Phone 631-968-6300 · Fax 631-968-5886

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