Eric Hernandez, AT Student
Specialist/Technologist, Athletic Trainer in Secaucus, NJ. Individual provider (NPI-1).
NPI number1750971479
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1750971479
- Entity type
- Individual (NPI-1)
- Name
- Eric Hernandez
- Credential
- AT Student
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2021
- Certification date
- Jan 25, 2023
- Last updated
- Jan 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
174 Blue Heron DrSecaucus, NJ 07094-2938
Phone 551-556-9433
Mailing address
174 Blue Heron DrSecaucus, NJ 07094-2938
Phone 551-556-9433
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