MEDICARE: HANNY HERNANDEZ DPM, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	006334	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	006334	NY

General Provider Information

NPI Number	:	1760742316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANNY HERNANDEZ DPM, P.C.

Provider Business Mailing Address
First Line	:	1262 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3541
Country	:	US
Telephone Number	:	347-862-9092
Fax Number	:	866-902-6611

Provider Business Practice Location Address
First Line	:	1262 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3541
Country	:	US
Telephone Number	:	917-403-6376
Fax Number	:	866-902-6611

Authorized Official
Title or Position	:	PODIATRIST/CEO
Name	:	HANNY M HERNANDEZ
Credential	:	DPM
Telephone Number	:	347-862-9092

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	08/08/2025

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