MEDICARE: DR. LINCOLN HERNANDEZ M.D.

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	207R00000X	Internal Medicine Physician	237063	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A4006448	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932137106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINCOLN HERNANDEZ M.D.

Provider Business Mailing Address
First Line	:	495 FORT WASHINGTON AVE STE PE1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-4626
Country	:	US
Telephone Number	:	212-795-1021
Fax Number	:	212-795-1002

Provider Business Practice Location Address
First Line	:	495 FORT WASHINGTON AVE STE PE1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-4626
Country	:	US
Telephone Number	:	212-795-1021
Fax Number	:	212-795-1002

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	09/11/2025

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