Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 65006334 | NY |
NPI | 1073746558 |
---|---|
Provider Name | Dr. Hanny Mercedes Hernandez |
First Address | Bronx, NY 10463-2620 |
Second Address | Bronx, NY 10458-5049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2009 |
Last Update Date | 30/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03247192 | (05) | NY |