Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eliezer Hernandez

Individual provider Primary Care Nurse Practitioner · NPI 1679247159

Eliezer Hernandez is a Nurse Practitioner in Albany, New York. Qualified in 2021, 5 years ago. Practices with Koinonia Primary Care Inc, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

553 Clinton Ave
Albany, NY 12206-2738
Phone: (518) 689-0282
Fax: (518) 689-0283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 348045 (NY)

Record details

NPI number1679247159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Koinonia Primary Care Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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