IndividualActive
Jose Hennandez
NPI 1114596434 · Contractor · Prospect Park, NJ
Provider details
- NPI number
- 1114596434
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Home Modifications Contractor171WH0202X
Other Service Providers
Practice location
85 N 17th St
Prospect Park, NJ 07508-1827
Phone: (862) 297-5378
Approximate (ZIP-level) locationGet directions
Mailing address
85 N 17th St
Prospect Park, NJ 07508-1827
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.