Provider Demographics
NPI:1255694030
Name:HERNANDEZ, MARIA YOLANDA (MS, ED; TSHH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:YOLANDA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MS, ED; TSHH
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:YOLANDA
Other - Last Name:HERNANDEZ DE LORCA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8 WILDER DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-3630
Mailing Address - Country:US
Mailing Address - Phone:845-238-8812
Mailing Address - Fax:
Practice Address - Street 1:8 WILDER DR
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3630
Practice Address - Country:US
Practice Address - Phone:845-238-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY741605174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist