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1023210614
LUIS E HERNANDEZ
MARCY, NY
NPI
1023210614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY P33902)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
LUIS E HERNANDEZ
300 WRIGHT AVENUE
MARCY, NY 13404
Phone number: 315-736-8271
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Mailing Address
LUIS E HERNANDEZ
5003 COTTAGE LN
MARCY, NY 13403-3036
Phone number:
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