MEDICARE: MS. ASHLEY MARIE HERNANDEZ

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	252Y00000X	Early Intervention Provider Agency	3664087	NY

General Provider Information

NPI Number	:	1538019971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY MARIE HERNANDEZ

Provider Business Mailing Address
First Line	:	3165 ARBOUR LN
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1971
Country	:	US
Telephone Number	:	646-261-7450
Fax Number	:

Provider Business Practice Location Address
First Line	:	3165 ARBOUR LN
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1971
Country	:	US
Telephone Number	:	646-261-7450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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