Hernandez, Angie Lorena
Hernandez, Angie Lorena is an individual health care provider with primary practice located at 10211 Roosevelt Ave , Corona NY 11368-2331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hernandez, Angie Lorena can be contacted via phone (718) 898-5200.Contact Information
Primary practice address
10211 Roosevelt Ave
Corona NY 11368-2331
Phone: (718) 898-5200
Fax: (718) 898-1251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 272686 | New York |
Profile Details
| NPI number | 1720348105 |
|---|---|
| LBN Legal business name | Hernandez, Angie Lorena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2012 |
| Last updated | May 17th, 2016 - about 9 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 | 1720348105 | NPPES |
| New York | MEDICAID | 04255125 |
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