Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | R0218721 | NY |
NPI | 1003066424 |
---|---|
Provider Name | Dr. Nilda E. Hernandez |
First Address | New Rochelle, NY 10805-1157 |
Second Address | New Rochelle, NY 10801-6324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2008 |
Last Update Date | 22/09/2008 |