| Doctor Name: | DR. NILDA E. HERNANDEZ |
| NPI Number: | 1003066424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LCSW-R |
| License Number: | R0218721 |
| Business Practice Address: | 481 Main St Suite 403 New Rochelle, NY - 108016324 |
| Business Phone Number: | 9143552440 |
| Business Fax Number: | |
| Mailing Address: | 773 Pelham Rd, Apt. 2a NEW ROCHELLE |
| State: | NY |
| Postal Code: | 108051157 |
| Phone Number: | 9146364339 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2008 |
| NPI Last Update Date: | 09/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R0218721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |