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NPI Code Detail

MEDICARE: MRS. CANDANCE TIYE DILBERT HERNANDEZ LPN

MEDICARE:  MRS. CANDANCE TIYE DILBERT HERNANDEZ  LPN
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
1164W00000XLicensed Practical Nurse354295NY

General Provider Information

NPI Number : 1417808833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CANDANCE TIYE DILBERT HERNANDEZ LPN
Provider Business Mailing Address
First Line : 245 WORTMAN AVE APT 11H
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-8549
Country : US
Telephone Number : 575-405-2406
Fax Number :
Provider Business Practice Location Address
First Line : 245 WORTMAN AVE APT 11H
Second Line : 11H
City : BROOKLYN
State : NY
Zip : 11207-8549
Country : US
Telephone Number : 575-405-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ MRS. CANDANCE TIYE DILBERT HERNANDEZ LPN” Practice Location

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