Most Relevant Information
Provider Data
| NPI Number: | 1003178781 |
| Provider Name: | MARLENE HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2012 |
| Last Updated: | 10/12/2015 |
Provider Practice Location
2510 WESTCHESTER AVE
SUITE 102
BRONX
NY
104613512
Practice Location Phone/Fax
| Phone: | 7185975558 |
| Fax: |
Provider Mailing Location
1486 WATSON AVE
APT 3E
BRONX
NY
104725343
Provider Mailing Phone/Fax
| Phone: | 3474276907 |
| Fax: |