Hernandez, Angelica M
Hernandez, Angelica M is an individual health care provider with primary practice located at 320 Montauk Hwy , West Islip NY 11795-4401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Hernandez, Angelica M can be contacted via phone (631) 587-2500.Contact Information
Primary practice address
320 Montauk Hwy
West Islip NY 11795-4401
Phone: (631) 587-2500
Fax: (631) 587-0292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 231840 | New York |
Profile Details
| NPI number | 1164484523 |
|---|---|
| LBN Legal business name | Hernandez, Angelica M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164484523 | NPPES |
| New York | MEDICAID | 02588076 |
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