Hernandez, Jesus M

Hernandez, Jesus M is an sole proprietor health care provider with primary practice located at 271 Fort Washington Ave Suite Aa, New York NY 10032-1218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hernandez, Jesus M can be contacted via phone (212) 740-2270.

Contact Information

Primary practice address
271 Fort Washington Ave Suite Aa New York NY 10032-1218
Phone: (212) 740-2270
Fax: (212) 923-0908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 163969 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 163969 New York

Profile Details

NPI number 1083750913
LBN Legal business name Hernandez, Jesus M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083750913 NPPES
New York MEDICAID 00922752

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