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Contact Information

PETER A HERNANDEZ, DPM
85 W MAIN STREET
SUITE 102
BAY SHORE, NY11706
 Phone: 631-968-6300
 Fax: 631-968-5886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PETER A HERNANDEZ · (Male)

NPI Number 1295881746
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N0034761
  • NY Medicaid 00830713
  • NY Other 4364220001 DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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