# AVRAHAM Y HENOCH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003062266
- **Authorized official:** DR. AVRAHAM Y. HENOCH M.D. (OWNER)
- **Authorized official phone:** (212) 740-6400

## Contact information

- **Practice address:** 564 W 160TH ST, NEW YORK, NY 10032-6702
- **Practice address phone:** (212) 740-6400
- **Practice address fax:** (212) 740-4105
- **Mailing address:** 2685 GRAND CONCOURSE, BRONX, NY 10468-3746
- **Mailing address phone:** (718) 563-0500
- **Mailing address fax:** (718) 563-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 168125 | NY | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 11/30/2010