MEDICARE: DIANA 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	171W00000X	Contractor	1221874	NY

General Provider Information

NPI Number	:	1730432816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA HERNANDEZ

Provider Business Mailing Address
First Line	:	614 80TH ST
Second Line	:	APT. 1R
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 80TH ST
Second Line	:	APT. 1R
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4021
Country	:	US
Telephone Number	:	917-806-2458
Fax Number	:

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

Provider Enumeration Date	:	10/26/2012
Last Update Date	:	10/26/2012

Similar Medicare Providers

1548995004 — KNICKERBOCKER DIALYSIS INC
Practice Location Address:

10 SNYDER AVE
BROOKLYN, NY
11226-4021

Practice Phone: 718-282-9570
Practice Fax: 718-282-9577

1821137027 — MOYA HEYWARD
Practice Location Address:

5712 AVENUE M
BROOKLYN, NY
11234-4021

Practice Phone: 718-804-5529
Practice Fax:

1538349915 — MR. MOSHE BADALOV PHARM D
Practice Location Address:

4021 13TH AVE
BROOKLYN, NY
11218-3539

Practice Phone: 718-633-4377
Practice Fax:

1326205287 — LEVYS PHARMACY INC
Practice Location Address:

4021 13TH AVE
BROOKLYN, NY
11218-3564

Practice Phone: 718-633-4377
Practice Fax: 718-633-4378

1053660183 — MS. NATELLA MALLAYEVA PHARMD
Practice Location Address:

4021 13TH AVE
BROOKLYN, NY
11218-3564

Practice Phone: 718-633-4377
Practice Fax: 718-633-4378

1629408380 — NATALIA OZEROVA MS
Practice Location Address:

30 BAY 29TH ST APT 6H
BROOKLYN, NY
11214-4021

Practice Phone: 718-266-1596
Practice Fax:

Directions to “ DIANA HERNANDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.