Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 287244 | NY |
N | 208200000X | Surgeon | 287244 | NY |
N | 208600000X | Surgeon | 287244 | NY |
NPI | 1184179210 |
---|---|
Provider Name | Roberto Hernandez-Alejandro |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14642-8410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2016 |
Last Update Date | 30/12/2016 |