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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1376531590 | NPPES |
| New York | MEDICAID | 01856817 |
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