Provider Demographics
NPI:1093076838
Name:HERNANDEZ, NEWRKA
Entity Type:Individual
Prefix:
First Name:NEWRKA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 HORACE HARDING EXPY APT 4K
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4704
Mailing Address - Country:US
Mailing Address - Phone:646-226-8571
Mailing Address - Fax:
Practice Address - Street 1:9711 HORACE HARDING EXPY APT 4K
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4704
Practice Address - Country:US
Practice Address - Phone:646-226-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator