MEDICARE: FRANKLIN HERNANDEZ MS CCC SLP

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	235Z00000X	Speech-Language Pathologist	009043-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009043-1	OTHER	NY	SLP LICENSE

General Provider Information

NPI Number	:	1720200595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN HERNANDEZ MS CCC SLP

Provider Business Mailing Address
First Line	:	3165 ARBOUR LN
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1971
Country	:	US
Telephone Number	:	845-564-9853
Fax Number	:	845-564-6974

Provider Business Practice Location Address
First Line	:	3165 ARBOUR LN
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1971
Country	:	US
Telephone Number	:	845-564-9853
Fax Number	:	845-564-6974

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	04/02/2025

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