National Provider Identifier
Simon Antonio Hernandez, MD
Simon Antonio Hernandez, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (854) 246-7705.
Profile Overview
- NPI
- 1629637251
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- June 07, 2019
- Last Updated
- September 22, 2023
Practice Location
- 2250 Brighton Henrietta Town Line RD
- Rochester, NY 14623-2706
Phone: (854) 246-7705
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Dermatology Physician (207N00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1629637251
- Entity Type
- Individual
- Last Name
- Hernandez
- First Name
- Simon
- Middle Name
- Antonio
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 2250 Brighton Henrietta Town Line RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2706
- Practice Country
- US
- Practice Phone
- (854) 246-7705
- Enumeration Date
- June 07, 2019
- Last Updated
- September 22, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), Student in an Organized Health Care Education/Training Program (390200000X)