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Physician Compare National (NPI:1073746558)

HEALTHCARE PROVIDER: HANNY MERCEDES HERNANDEZ D.P.M

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1073746558
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2062542392
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100614000455
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HERNANDEZ
Individual professional last name
Provider First Name HANNY
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 564 W 160TH ST
Group Practice or individual's line 1 address
Line 2 Street Address OFC 1
Group Practice or individual's line 2 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100326702
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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