Healthcare Provider Details

I. General information

NPI: 1336480664
Provider Name (Legal Business Name): MARIA ISABEL HERNANDEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13303 JAMAICA AVE
RICHMOND HILL NY
11418-2618
US

IV. Provider business mailing address

9210 88TH AVE APT 1
WOODHAVEN NY
11421-2133
US

V. Phone/Fax

Practice location:
  • Phone: 718-291-3276
  • Fax:
Mailing address:
  • Phone: 718-847-3567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number421092
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: