Deborah Hernandez, Nurse Practitioner
Nurse Practitioner, Pediatrics in Greenlawn, NY. Individual provider (NPI-1).
NPI number1619080066
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619080066
- Entity type
- Individual (NPI-1)
- Name
- Deborah Hernandez
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F381433-1 | NY | Yes |
Practice location
284 Pulaski RdGreenlawn, NY 11740-1602
Phone 631-425-5250 · Fax 631-425-0140
Mailing address
284 Pulaski RdGreenlawn, NY 11740-1602
Phone 631-425-5250 · Fax 631-425-0140
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