Provider Demographics
NPI:1770638132
Name:FERRAN-HANSARD, NEREIDA LUZ (MD)
Entity type:Individual
Prefix:DR
First Name:NEREIDA
Middle Name:LUZ
Last Name:FERRAN-HANSARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEREIDA
Other - Middle Name:LUZ
Other - Last Name:FERRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:83 MAIDEN LN FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4812
Mailing Address - Country:US
Mailing Address - Phone:212-780-2378
Mailing Address - Fax:212-505-0724
Practice Address - Street 1:3000 MARCUS AVE STE 2W15
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1005
Practice Address - Country:US
Practice Address - Phone:855-201-4988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149670207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00861610Medicaid
NY00861610Medicaid
NY31D841Medicare ID - Type Unspecified