Hernandez, Manuel Antonio
Hernandez, Manuel Antonio is an sole proprietor health care provider with primary practice located at 24101 Linden Blvd , Elmont NY 11003-4040. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez, Manuel Antonio can be contacted via phone (516) 792-6082.Contact Information
Primary practice address
24101 Linden Blvd
Elmont NY 11003-4040
Phone: (516) 792-6082
Fax: (516) 285-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 051596-1 | New York |
Profile Details
| NPI number | 1184965535 |
|---|---|
| LBN Legal business name | Hernandez, Manuel Antonio |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2013 |
| Last updated | Mar 11th, 2013 - about 12 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 | 1184965535 | NPPES |
| New York | MEDICAID | 02579899 |
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