Provider Information for 1861849473
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Dr. AMANDA LYNN HERNANDEZ MD, PhD
Other Names:Former Name:AMANDA HERNANDEZSex: Female
NPI: 1861849473
Last Updated: 2024-06-26
Certification Date: 2024-06-26
Certification Date: 2024-06-26
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861849473 | ||||||||||||||
| Enumeration Date | 2016-05-24 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 5 MUNSON RD NEUROLOGY MC 5550 FARMINGTON, CT 06030-5550 United States Phone: 860-697-4888 | Fax:860-679-1462 | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8031 United States Phone: 860-679-4888 | Fax:860-679-1462 | ||||||||||||||
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