Lisa R Hernandez (NPI# 1043278047, PAC ID# 6901702570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1043278047 |
| PAC ID by PECOS | 6901702570 |
| Professional Enrollment ID | I20031212000420 |
| Full Name | Lisa R Hernandez |
| Address |
6 Presley St Staten Island NY 10308-3239 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6 Presley St, Staten Island, NY 10308-3239 |
| Street Address |
6 PRESLEY ST |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10308-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kopresh A Gudi | Diagnostic Radiology | Radadvantage A Professional Corporation | 151 Islington St, Staten Island, NY 10308-1616 |
| Mary Ann Cantilena | Psychologist, Clinical | 157 Giffords Ln, Staten Island, NY 10308-2012 | |
| Aliza Skaya | Clinical Social Worker | 4066 Amboy Rd, Staten Island, NY 10308-2409 | |
| Gerald Dwyer | Clinical Social Worker | 4062 Amboy Rd, Staten Island, NY 10308-2409 | |
| Martin J Blondell | Clinical Social Worker | 3974 Amboy Rd, Staten Island, NY 10308-2414 | |
| Sanford Mallin | Family Medicine | 107 Nelson Ave, Staten Island, NY 10308-2710 | |
| Judith W Blumert | Clinical Social Worker | 99 Nelson Ave, Staten Island, NY 10308-2710 | |
| Madeline C Phillipps | Clinical Social Worker | 27 Ramble Rd, Staten Island, NY 10308-2923 | |
| James Bruno | Pulmonary Disease | 277 Nelson Ave, Staten Island, NY 10308-3204 | |
| Philip S Paterno | Physician Assistant | Consultants In Urology | 4143 Hylan Blvd, Staten Island, NY 10308-3308 |
| Find all physicians in zip 10308 | |||
| City | STATEN ISLAND |
| Zip Code | 10308 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | STATEN ISLAND + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Lisa R Hernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.