Hernandez, Ileana

Hernandez, Ileana is an individual health care provider with primary practice located at 2 Coulter Rd , Clifton Springs NY 14432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Hernandez, Ileana can be contacted via phone (315) 462-9561.

Contact Information

Primary practice address
2 Coulter Rd Clifton Springs NY 14432
Phone: (315) 462-9561
Fax: (315) 462-3492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 205898-1 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 205898 New York

Profile Details

NPI number 1376531590
LBN Legal business name Hernandez, Ileana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Oct 26th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376531590 NPPES
New York MEDICAID 01856817

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