Provider Demographics
NPI:1326440702
Name:HERNANDEZ, CAROLINE PAULA TRZASKA
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:PAULA TRZASKA
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 1:14490 41ST AVE APT 710
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1540
Mailing Address - Country:US
Mailing Address - Phone:516-808-3291
Mailing Address - Fax:
Practice Address - Street 1:14490 41ST AVE APT 710
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1540
Practice Address - Country:US
Practice Address - Phone:516-808-3291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist